Progressive Mental Health
Nurse Practitioner (Psychiatric/Mental Health)

Address: 2259 W Taylor St, Chicago, IL 60612-4233
Phone: 7735178360

Progressive Mental Health (NPI# 1598361651) 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) 1598361651
Entity Type Organization
Organization Name PROGRESSIVE MENTAL HEALTH
Practice Address 2259 W Taylor St
Chicago
IL 60612-4233
Practice Telephone 7735178360
Mailing Address 2259 W Taylor St
Chicago
IL 60612-4233
Mailing Telephone 7735178360
Authorized Official Name Sherann Ivy (APN)
Authorized Official Telephone 7735178360
Authorized Official Credential PMHNP-BC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-04
Last Update Date 2020-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Identifier Issuer Type Code
IL 341029006 MEDICAID

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

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1689232522 Sarah Ball Schrock Nurse Practitioner 3310 W Division St, Chicago, IL 60651-2301 2019-06-05
1386117232 Prudent Alliance for Healthcare, LLC Nurse Practitioner 6159 W Eddy St, Chicago, IL 60634-4122 2019-01-03
1770068421 Gian Bonador Nurse Practitioner 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 2018-09-28
1790115293 Stacey Marie Meyers Nurse Practitioner 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 2013-11-19
1326385824 Deborah Francine Bump Nurse Practitioner 6918 S Euclid Ave, Chicago, IL 60649-1512 2013-01-03
1104058221 Lester Eugene Lamee Jr. Nurse Practitioner 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 2009-08-24
1720003577 Janice E Stern Nurse Practitioner 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 2006-07-13
1164028189 Lateef Babatunde Kelani Nurse Practitioner 1127 N Oakley Blvd, Chicago, IL 60622-3507 2020-12-06
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Office Location

Street Address 2259 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612-4233

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
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Competitor

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City CHICAGO
Zip Code 60612

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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.