DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KEISHA NICOLE HOUSE

MEDICARE: KEISHA NICOLE HOUSE
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
1363LF0000XFamily Nurse Practitioner277000995IL

General Provider Information

NPI Number : 1619400074
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEISHA NICOLE HOUSE
Provider Business Mailing Address
First Line : 3240 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2405
Country : US
Telephone Number : 312-413-7425
Fax Number : 312-413-2588
Provider Business Practice Location Address
First Line : 3240 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2405
Country : US
Telephone Number : 312-413-7425
Fax Number : 312-413-2588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 01/13/2021

Similar Medicare Providers

1841614609 — THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax: 312-996-3512
1134507247 — CELINA CANTU LCSW
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax:
1972079358 — BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax:
1255803045 — BERNARD J VONDERHAAR DNP
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax:
1316595747 — MR. MICHAEL ANTHONY HUYCK RN
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax:
1114516812 — KELLY THERESE MOORE RN, DNP STUDENT
Practice Location Address:
3240 W DIVISION ST
CHICAGO, IL
60651-2405
Practice Phone: 312-413-7425
Practice Fax:

Directions to “ KEISHA NICOLE HOUSE ” 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.