MRS. LORA ETHELYN BERTELL (NPI# 1063544617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063544617 |
| Entity Type | Individual |
| Full Name | MRS. LORA ETHELYN BERTELL |
| Credential | PHARMD |
| Practice Address |
11829 Banchary Rd Belvidere IL 61008-7175 |
| Practice Telephone | 8158854424 |
| Mailing Telephone | 8158854424 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
IL | Pharmacy Service Providers |
| Street Address |
11829 BANCHARY RD |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-7175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835800 | Lisa Raff | Pharmacist | 800 Biesterfield Rd Ste 210, Elk Grove Village, IL 60007-3363 | 2019-08-06 |
| 1598190449 | Ashwin Shah | Pharmacist | 1305 N Foxdale Dr, Addison, IL 60101-5713 | 2013-09-11 |
| 1710101969 | Hema A Patel | Pharmacist | 6726 Sweetbriar Ln, Darien, IL 60561-3674 | 2007-04-12 |
| 1629194642 | Jamie Frances Sovcik | Pharmacist | 2300 N Children's Plaza, Box 74, Chicago, IL 60614 | 2007-03-21 |
| 1013057157 | Thakore N Patel | Pharmacist | 2614 W. Jefferson Street, Joliet, IL 60435 | 2007-02-07 |
| 1578629952 | Latha Radhakrishnan | Pharmacist | 833 S Wood Room 164, University of Illinois, College of Pharmacy Mc 886, Chicago, IL 60612 | 2006-12-29 |
| 1396824645 | Mark C. Geraci | Pharmacist | 1st Avenue 1 Block North of Cermak, Building 37 Room 139, Hines, IL 60141 | 2006-11-06 |
| 1427137827 | Sandra Cuellar Puri | Pharmacist | 833 S Wood St # 886, Suite 164, Chicago, IL 60612-7229 | 2006-11-04 |
| 1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
| 1154881415 | Trevor Nelson Christ | Pharmacist | 1725 W Harrison St Ste 1059, Chicago, IL 60612-3841 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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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.