CARLY NICOLE GIACOMO (NPI# 1982255139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982255139 |
| Entity Type | Individual |
| Full Name | CARLY NICOLE GIACOMO |
| Credential | PA-C |
| Practice Address |
333 Madison St Joliet IL 60435-8200 |
| Practice Telephone | 8157257133 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085007365 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 MADISON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753917 | Prairie Emergency Services, Sc | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2005-07-08 |
| 1689272478 | Gwenna Carie | Registered Nurse | 333 Madison St, Joliet, IL 60435-8200 | 2020-10-14 |
| 1457974446 | Michael S Greco | Occupational Therapist | 333 Madison St, Joliet, IL 60435-8200 | 2020-05-25 |
| 1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
| 1194378984 | Cara Murphy | Nurse Anesthetist, Certified Registered | 333 Madison St, Joliet, IL 60435-8200 | 2019-07-20 |
| 1013474402 | Kristin Upp | Physical Therapy Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2019-02-21 |
| 1235603713 | Jennifer M Alamillo | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2019-01-17 |
| 1780155325 | Neurocyst Incorporated | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2018-12-07 |
| 1245715127 | Susan Jayne Opacian | Registered Nurse | 333 Madison St, Joliet, IL 60435-8200 | 2018-09-26 |
| 1891277646 | Amber Marie Vladika | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2018-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618257 | La Tanya Ringer Alford | Physician Assistant | 16830 S. Broadway Street, Joliet, IL 60434 | 2020-04-27 |
| 1952930547 | Laura Gillespie | Physician Assistant | 612 Catherine St, Joliet, IL 60435-5804 | 2020-04-06 |
| 1639649494 | Paulina Joanna Bosek | Physician Assistant | 2202 Essington Rd Ste 101, Joliet, IL 60435-1604 | 2018-12-04 |
| 1164898524 | Rachel Chessare | Physician Assistant | 800 N Larkin Ave, Joliet, IL 60435-3429 | 2015-08-19 |
| 1053648451 | Lisa Marie Brown | Physician Assistant | 333 North Madison St, Joliet, IL 60435-6595 | 2009-11-06 |
| 1851571830 | Riliwan Deinde Ojelade | Physician Assistant | 3515 Sumac Dr, Joliet, IL 60435-9019 | 2007-11-07 |
| 1275629420 | Sandra L. Coomes | Physician Assistant | 333 N Madison Street, Joliet, IL 60435 | 2006-10-05 |
| 1992745491 | Brenda Keener | Physician Assistant | 2100 Glenwood Avenue, Joliet, IL 60435 | 2006-06-07 |
| 1841764131 | Cassandra Basak | Physician Assistant | 2202 Essington Rd Ste 101, Joliet, IL 60435-1604 | 2019-01-19 |
| 1124599592 | Jessica Arlene Pesavento | Physician Assistant | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2018-12-11 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.