Vanessa Howard (NPI# 1093148397, PAC ID# 8921233917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093148397 |
| PAC ID by PECOS | 8921233917 |
| Professional Enrollment ID | I20131029000635 |
| Full Name | Vanessa Howard |
| Organization Legal Name | BLUE ISLAND CLINIC COMPANY LLC |
| Address |
2310 York St Suite 5a Blue Island IL 60406-2411 |
| Phone Number | 7084897800 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022270685 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12935 S Gregory St, Blue Island, IL 60406-2428 | 7085972000 | BLUE ISLAND CLINIC COMPANY LLC |
| 2310 York St, Suite 5a, Blue Island, IL 60406-2411 | 7084897800 | BLUE ISLAND CLINIC COMPANY LLC |
| 12549 S Ashland Ave, Calumet Park, IL 60827-6013 | 7084895662 | BLUE ISLAND CLINIC COMPANY LLC |
| Organization Legal Name | BLUE ISLAND CLINIC COMPANY LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Townsend Scott | Family Practice | Blue Island Clinic Company LLC | 1701 W Monterey Ave, Chicago, IL 60643-4257 |
| Ann M Scoigletti | Nurse Practitioner | Blue Island Clinic Company LLC | 13305 S Ridgeland Ave, Palos Heights, IL 60463-1808 |
| Ankita Dalal | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Humaira Khan | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Deina Nemiary | Psychiatry | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Street Address |
2310 YORK ST SUITE 5A |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafiq Ahmed | Gastroenterology | 2310 York St, 2b, Blue Island, IL 60406-2411 | |
| Theodore G James | Internal Medicine | 2310 York St, 2c, Blue Island, IL 60406-2411 | |
| Vybert P Greene | Obstetrics/gynecology | 2310 York St, Suite 4d, Blue Island, IL 60406-2411 | |
| William W Ashley | Cardiovascular Disease (cardiology) | 2310 York St, Blue Island, IL 60406-2411 | |
| Gregorio M Tolentino | Radiation Oncology | 2310 York St, Blue Island, IL 60406-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUE ISLAND + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.