Evelyn Bollinger, RN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

209.007117 Issued in IL

Practice address

Ingalls Home Care
One Ingalls Drive
Harvey, IL 60426-3591

Phone

(708) 331-0226

Fax

(708) 915-6357

NPI assigned

Mar 23, 2009

Last updated

Mar 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate Health Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1639111933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1407097397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE INGALLS DRIVE",
            "address_2": "INGALLS HOME CARE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263591",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INGALLS HOME CARE",
            "address_2": "ONE INGALLS DRIVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263591",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "EVELYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209.007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Bhatt, D.O. M.P.H.
• Lisa M. Bibb, M.D.
• Paul S Bierman, MD
• Wyvon Blackwell, MSN, APRN,FNP-C
• Lilyan Bland, RPH
• Anthony Bothell, DPT
• BR Developmental Agency
• Brittani Bradley
• Branches Therapeutic Services, PLLC
• Tiara Lashay Brazill

• Clinical Nurse Specialist in Harvey, IL
• Providers in Harvey, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.