Donna J. Calvin, ARNP
Individual provider Active NPI Nurse Practitioner · Harvey, IL
NPI 1164577920 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1164577920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209002917 (IL)
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 596-5518
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209002917 | IL | Yes |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other practice location 1
9730 S Western Ave
NeoMedica Evergreen Park - CKD Services
Evergreen Park, IL 60805-2814
Phone (708) 423-8833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209002917 | Medicaid | IL | |
| 277001599 | Medicaid | IL |
Other providers in Harvey, IL
- Patricia A Burge
- William J. Burns
- Jerome Howard Buster
- Donne Bennett De Leon Caces
- Priscilla Ann Calcote
- Cardiac Consulting Group SC
- Cardiology-Internal Medicine Consultants SC
- Nancy Carter
- Angel Castaner
- Carol Castile
All providers in Harvey, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.