PROVIDER STAT PLLC
NPI 1487372546
Nurse Practitioner - Family in Chicago, IL

Q: What is Provider Stat PLLC's NPI number?

The NPI number for Provider Stat PLLC is 1487372546. It was assigned to this organization in the NPPES registry on August 16, 2022.

Q: What is Provider Stat PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 16, 2022

6374 N LINCOLN AVE STE 312, CHICAGO, IL 60659(312) 308-0219 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, Oct 13, 2022, Sep 2, 2022 and 1 more (4 updates tracked since 2022).

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About Provider Stat Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDER STAT PLLC (NPI 1487372546) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since August 2022. The organization lists Dina Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1487372546

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePROVIDER STAT PLLC

Location Address6374 N LINCOLN AVE STE 312Chicago, IL 60659-1224

Mailing Address6374 N Lincoln Ave Ste 312Chicago, IL 60659-1224

Phone(312) 308-0219

Organization SubpartNo

Authorized OfficialDina ZimmermanOwner · (312) 308-0219

Enumeration DateAugust 16, 2022

Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2023

✔ NPI 1487372546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

6374 N LINCOLN AVE STE 312, Chicago, IL 60659

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK DANIEL FREEDMAN MD

Family Medicine

6374 N LINCOLN AVE STE 312
CHICAGO, IL 60659

Cook County (773) 654-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provider Stat PLLC's NPI number?

The NPI number for Provider Stat PLLC is 1487372546. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Provider Stat PLLC located?

Provider Stat PLLC is located at 6374 N Lincoln Ave Ste 312, Chicago, IL 60659. The listed phone number is (312) 308-0219.

What is Provider Stat PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Provider Stat PLLC was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.