Evelyn Angel Aztlan-Keahey, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209-012889 Issued in IL

Practice address

659 W. Washington Blvd
Chicago, IL 60661

Phone

(312) 707-8988

Fax

(312) 707-9223

NPI assigned

Apr 10, 2007

Last updated

Jul 21, 2022By 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 3

Addresses

Other names 1

• Evelyn Angel James Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Family Planning Associates Medical Group LTD.

  • Specialist
  • Chicago, IL
  • NPI 1972620904
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962625756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W. WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "312-707-8988",
            "fax_number": "312-707-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 W. WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "312-707-8988",
            "fax_number": "312-707-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZTLAN-KEAHEY",
        "first_name": "EVELYN",
        "middle_name": "ANGEL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "16838",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209-012889",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209-012888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "JAMES",
            "middle_name": "ANGEL",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramsen Azizi, M.D.
• Awais Azmat, MD
• Shazia Azmat, MD
• Ana Azpeitia Hodder
• Elyse Azriel, MS, MA, CRC, LPC
• Eric Neil Azua
• Azul Holistic Spa
• Mudar Azzam, DDS
• Ossama Azzam, D.D.S
• Ruba Azzam

• Women's Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.