MEDICARE: ESHA KACKER PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	041.509746	IL
2	163W00000X	Registered Nurse	916707	TX
3	363L00000X	Nurse Practitioner	209.023336	IL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1035252	TX
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209.023336	IL

General Provider Information

NPI Number	:	1205405644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESHA KACKER PMHNP

Provider Business Mailing Address
First Line	:	7401 BLUE BEACH CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-6424
Country	:	US
Telephone Number	:	512-632-7427
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N HALSTED ST FL 234
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2517
Country	:	US
Telephone Number	:	516-407-8558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

Similar Medicare Providers

1396037578 — TASC, INC
Practice Location Address:

1500 N HALSTED ST
CHICAGO, IL
60642-2517

Practice Phone: 312-787-0802
Practice Fax: 312-787-9663

1396088951 — LILY PETER L.C.S.W.
Practice Location Address:

1500 N HALSTED ST FL 2
CHICAGO, IL
60642-2517

Practice Phone: 312-762-5335
Practice Fax:

1467917856 — DR. MICHAEL J GONTAREK DC
Practice Location Address:

1500 N HALSTED ST
CHICAGO, IL
60642-2517

Practice Phone: 312-787-7850
Practice Fax:

1326811365 — CATALOG-ENTERPRISE
Practice Location Address:

1500 N HALSTED ST
CHICAGO, IL
60642-2517

Practice Phone: 800-633-0374
Practice Fax:

1487582508 — BRAYAN CORTEZ PA-C
Practice Location Address:

4914 W ALTGELD ST
CHICAGO, IL
60639-2517

Practice Phone: 312-838-0881
Practice Fax:

1962657627 — ACCURATE INTERPRETING AND TRANSLATION
Practice Location Address:

5555 S NATCHEZ AVE
CHICAGO, IL
60638-2517

Practice Phone: 630-853-7193
Practice Fax:

Directions to “ ESHA KACKER PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.