DOLORES THEISS (NPI# 1003995259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003995259 |
| Entity Type | Individual |
| Full Name | DOLORES THEISS |
| Credential | CRNFA |
| Practice Address |
2350 Royal Blvd Suite 200 Elgin IL 60123-4719 |
| Practice Telephone | 8479315300 |
| Practice Fax Number | 8479319072 |
| Mailing Telephone | 8479315300 |
| Mailing Fax Number | 8479319072 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2350 ROYAL BLVD SUITE 200 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773101 | Brad L Epstein | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123-4719 | 2005-07-08 |
| 1689212623 | Fox Valley Orthopaedic Associates, S.c. | Orthopaedic Surgery | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2019-12-19 |
| 1235530080 | Cory Henry | Physical Therapist | 2350 Royal Blvd, #700, Elgin, IL 60123-4719 | 2014-09-11 |
| 1275973828 | Jessica Elaine Gronewold | Physical Therapist | 2350 Royal Blvd, Suite 700, Elgin, IL 60123-4719 | 2013-06-27 |
| 1427334473 | Katherine Anne Virnig | Physician Assistant | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4719 | 2011-10-21 |
| 1154578870 | Melissa Joy Miller | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123 | 2008-08-25 |
| 1962668616 | Amanda J Moore | Audiologist | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2008-08-01 |
| 1063635431 | Elio M Vento Md & Associates Sc | Internal Medicine | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4719 | 2007-04-11 |
| 1801910914 | Lizabeth Susan Rantissi | Physician Assistant | 2350 Royal Blvd, Ste 100, Elgin, IL 60123-4719 | 2007-03-16 |
| 1821128398 | Cynthia Applehoff | Physician Assistant | 2350 Royal Blvd, Suite 300, Elgin, IL 60123-4719 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720419294 | Karen M. Blum | Clinical Nurse Specialist | 675 North Saint Clair Street, 17th Floor, Chicago, IL 60611 | 2013-12-09 |
| 1477994929 | Karen Jean Mahnke | Clinical Nurse Specialist | 6269 Old Farm Ln, Gurnee, IL 60031-4433 | 2013-07-12 |
| 1508089491 | Mary S. Ware Consulting Services, Incorporated | Clinical Nurse Specialist | 8300 S Dorchester Ave, Suite B, Chicago, IL 60619-6402 | 2007-04-10 |
| 1275689143 | Bobbie S Drodwell | Clinical Nurse Specialist | 9641 Brandt Ave, Oak Lawn, IL 60453-3024 | 2007-01-25 |
| 1932140167 | Nancy Lynn Schuller | Clinical Nurse Specialist | 4238 Park Ave, Brookfield, IL 60513-1910 | 2006-06-09 |
| 1114900289 | Elizabeth F Christian | Clinical Nurse Specialist | 222 S School St, Mount Prospect, IL 60056-3319 | 2005-11-22 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1124352125 | Fely Ong | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-09-23 |
| 1497989974 | Diane K Martin | Clinical Nurse Specialist | 1725 W Harrison St, Suite 1159, Chicago, IL 60612-3841 | 2009-05-12 |
| 1154572394 | Rosina Frazier | Clinical Nurse Specialist | 16601 Kilbourne Ave, Oak Forest, IL 60452-4621 | 2008-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.