IndividualActive
Ayana Isham, AGNP
NPI 1780269084 · Gerontology Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1780269084
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209021473 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2003 W Fulton St
Chicago, IL 60612-2345
Phone: (312) 243-2223
Fax: (312) 243-2227
Approximate (ZIP-level) locationGet directions
Mailing address
2003 W Fulton St
Chicago, IL 60612-2345
Registry dates
- Enumerated
- 2021-03-17
- Last updated
- 2024-11-21
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.