Marina Diane Schanks, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209007264041237430 Issued in IL

Practice address

836 West Wellington Avenue
Chicago, IL 60657-5193

Phone

(773) 296-5019

Fax

(773) 296-8909

NPI assigned

Jan 5, 2009

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

Other names 1

• Mrs. Marina Diane De Asa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1730325226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "telephone_number": "773-296-5019",
            "fax_number": "773-296-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 WEST WELLINGTON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575193",
            "telephone_number": "773-296-5019",
            "fax_number": "773-296-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANKS",
        "first_name": "MARINA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007264041237430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "DE ASA",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Schallon
• Joshua Aaron Schammel, MD
• Erica Schan, PA-C
• Stefanie Renee Schanaberger
• Sara Schankerman, OTD, OTR/L
• Lieba Gaynor Schanowitz, SLP
• Jamie Susan Lazeski Schanz, FNP-BC
• Elizabeth Christina Schapiro, CCC-SLP
• Nathaniel Matthew Schapiro, PSY.D.
• Amanda Schappler, MS

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.