STEPHANIE ANZELC (NPI# 1184219164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184219164 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANZELC |
| Gender | Female |
| Practice Address | 5645 W Addison St Chicago IL 60634-4403 |
| Practice Telephone | 7732827000 |
| Mailing Address | Po Box 75098 Chicago IL 60675-5098 |
| Certification Date | 2021-03-02 |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 5645 W ADDISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003011966 | Aaron Daniel Kallsnick | Anesthesiology | 5645 W Addison St, Chicago, IL 60634-4403 | 2007-06-19 |
| 1881285443 | Renata Sochacki | Nurse Practitioner · Family | 5645 W Addison St, Chicago, IL 60634-2881 | 2021-01-27 |
| 1770186652 | Jhestelin Francis | Registered Nurse | 5645 W Addison St, Chicago, IL 60634-4403 | 2020-11-20 |
| 1740809797 | Nicholas Donald Charmelo | Registered Nurse · Emergency | 5645 W Addison St, Chicago, IL 60634-2881 | 2020-04-09 |
| 1528695814 | Ana Bulaja | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-2881 | 2020-03-25 |
| 1669008702 | Jeremy Blauser | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2020-03-20 |
| 1598306870 | Sss Pathology Services Pllc | Pathology · Anatomic Pathology & Clinical Pathology | 5645 W Addison St, Chicago, IL 60634-4403 | 2019-10-08 |
| 1639737851 | Akhter U Patel | Nurse Practitioner · Family | 5645 W Addison St, Chicago, IL 60634-4403 | 2019-06-03 |
| 1457916124 | Jaclyn Novak | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2019-05-07 |
| 1962977421 | Ashley Fisher · Ashley Widomski | Dietitian, Registered | 5645 W Addison St, Chicago, IL 60634-4403 | 2018-10-10 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093987000 | Bertha Patricia Gutierrez | Family Medicine | 5647 W Addison St, Chicago, IL 60634-4403 | 2008-03-31 |
| 1184847287 | Fe Cruz Monterola | General Practice | 5645 West Addison Street, Chicago, IL 60634-4403 | 2007-04-10 |
| 1831614700 | Samantha J Thompson | Physician Assistant | 5647 W Addison St, Chicago, IL 60634-4403 | 2017-08-11 |
| 1588071294 | Anna Jaroszewska | Family Medicine | 5647 W Addison St, Chicago, IL 60634-4403 | 2014-07-14 |
| 1639597560 | Kathryn E Sas · Kathryn E Michniowski | Registered Nurse | 5647 W Addison St, Chicago, IL 60634-4403 | 2014-03-28 |
| 1740524008 | Natalia J. Mcgee | Nurse Practitioner · Family | 5647 W Addison St, Chicago, IL 60634-4403 | 2012-11-26 |
| 1770831364 | Monica Korczynski | Occupational Therapist | 5645 W. Addison Street, Chicago, IL 60634-4403 | 2012-08-29 |
| 1982953543 | Marcin Olkowicz | Occupational Therapist | 5645 W. Addison Street, Chicago, IL 60634-4403 | 2012-08-29 |
| 1205184892 | Lily Chin | Occupational Therapist | 5645 W. Addison Street, Chicago, IL 60634-4403 | 2012-08-29 |
| 1437440229 | Primecare Community Health, Inc. | Family Medicine | 5647 W Addison St, Chicago, IL 60634-4403 | 2011-04-27 |
| Find all providers in zip 60634-4403 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor · Professional | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1265965826 | Reham Sheblak | Pharmacist | 2826 Natoma Street, Chicago, IL 60634 | 2017-04-10 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1639489172 | Maura Needham | Physical Therapist | 5820 W. Irving Park Rd., Chicago, IL 60634 | 2010-10-18 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508446824 | Morgan Leigh Angotti | 600 S Paulina St Ste 524, Chicago, IL 60612-3806 | 2021-04-11 | |
| 1205416682 | Aaditi Guruprasad Naik | 924 E 57th St Ste 104, Chicago, IL 60637-1455 | 2021-04-10 | |
| 1043890510 | Rebecca Alison Foreman | 1620 W Harrison St Ste 454, Chicago, IL 60612-3801 | 2021-04-09 | |
| 1689254302 | Connor Comstock | 1750 W Harrison St Ste 744, Chicago, IL 60612-3825 | 2021-04-08 | |
| 1093394975 | Angelo Frank Guastella | 836 W Wellington Ave Ste 4800, Chicago, IL 60657-5147 | 2021-04-06 | |
| 1720667074 | Michael Foy | 708 S Ada St Apt 3f, Chicago, IL 60607-4921 | 2021-04-05 | |
| 1023697224 | Elizabeth Hayes | 1645 W Jackson Blvd Ste 215, Chicago, IL 60612-3227 | 2021-04-05 | |
| 1174102404 | Jimmie Knight IIi | 1750 W Harrison St # 775, Chicago, IL 60612-3825 | 2021-04-05 | |
| 1689253015 | Catherine M. Ludwig | 1222 E 63rd St, Chicago, IL 60637-3722 | 2021-04-04 | |
| 1255910725 | Daniel Indorato | 207 W Harrison St Apt 506, Chicago, IL 60607-5046 | 2021-04-03 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013281377 | Matt Anzelc | Dentist | 3145 7th Ave E, Hibbing, MN 55746-2625 | 2012-03-05 |
| 1437162203 | Matt M. Anzelc Dds Pa | Dentist · General Practice | 3145 7th Ave E, Hibbing, MN 55746-2625 | 2006-08-14 |
| 1457372716 | Pamela Anzelc | Dentist | 380 Auburn St, Portland, ME 04103-2143 | 2006-07-22 |
| 1497061873 | Laurel Elaine Anzelc | Marriage & Family Therapist | 2513 24th St, San Francisco, CA 94110-3556 | 2010-08-24 |
| 1376726885 | Quinn Stephanie Dental Group, Professional Corporation · Stephanie Dental Group | Dentist · General Practice | 175 N Stephanie St, Ste 170, Henderson, NV 89074-8829 | 2007-12-07 |
| 1639655079 | Stephanie Jo Klutz · Stephanie Jo Brolsma | Physician Assistant | 2535 S Downing St Ste 180f, Denver, CO 80210-5847 | 2018-07-18 |
| 1235688649 | Stephanie Troxell · Stephanie Moeller | Physical Therapist | 2185 Stringtown Rd, Grove City, OH 43123 | 2016-09-27 |
| 1689037400 | Stephanie Jo Kemp · Stephanie Jo Karger | Emergency Medicine | 1830 E Monument St, Suite 6-100, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1659701126 | Stephanie Perman · Stephanie Schulte | Pharmacist | 1806 S Minnesota Ave, Sioux Falls, SD 57105-2811 | 2013-11-20 |
| 1801976634 | Stephanie L Kidd · Stephanie L Birnbaum | Counselor | 6929 W 130th St, Suite 503, Cleveland, OH 44130-7895 | 2006-10-16 |
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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.