HIGHLAND WOMEN'S CARE (NPI# 1093713364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713364 |
| Entity Type | Organization |
| Organization Name | HIGHLAND WOMEN'S CARE |
| Practice Address |
3103 W Kunkle Blvd Freeport IL 61032-6922 |
| Practice Telephone | 8152330999 |
| Practice Fax Number | 8152337255 |
| Mailing Telephone | 8152330999 |
| Mailing Fax Number | 8152337255 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DAWN M HILL (BUSINESS MANAGER) |
| Authorized Official Telephone | 8152320999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
IL | Physician Assistants & Advanced Practice Nursing Providers | |
| X | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 08932003 | 01 |
| Street Address |
3103 W KUNKLE BLVD |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649471434 | Sara E Smith | Nurse Practitioner | 3103 W Kunkle Blvd, Freeport, IL 61032-6922 | 2007-05-30 |
| 1801007190 | Keith R Martin | Obstetrics & Gynecology | 3103 W Kunkle Blvd, Freeport, IL 61032-6922 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518419118 | Lauren Deriggs | Nurse Practitioner | 152 S Long Beach Ave, Freeport, NY 11520-4336 | 2016-10-30 |
| 1053648063 | Danielle E Siedschlag | Nurse Practitioner | 25 N Harlem Ave, Freeport, IL 61032-3801 | 2009-11-11 |
| 1649471434 | Sara E Smith | Nurse Practitioner | 3103 W Kunkle Blvd, Freeport, IL 61032-6922 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HIGHLAND WOMEN'S CARE.
| 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.