Carolle M Derradji
Nurse Practitioner (Family)

Address: 3256 W Potomac Ave, Chicago, IL 60651-2411
Phone: 7082806164

Carolle M Derradji (NPI# 1265033385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265033385
Entity Type Individual
Full Name Carolle M Derradji
Gender Female
Practice Address 3256 W Potomac Ave
IL 60651-2411
Practice Telephone 7082806164
Mailing Address 3256 W Potomac Ave
IL 60651-2411
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-04
Last Update Date 2020-11-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 209.022245 IL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
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1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
1770191496 Katherine Hickey Nurse Practitioner 950 W Monroe St Unit 407, Chicago, IL 60607-2795 2020-07-20
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Office Location

Street Address 3256 W POTOMAC AVE
State IL
Zip Code 60651-2411

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor 5910 W Division, Chicago, IL 60651 2017-01-19
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez Social Worker 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
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Zip Code 60651

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Dataset Information

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.