MS. MARY KATHERINE PENDLETON (NPI# 1194788992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194788992 |
Entity Type | Individual |
Full Name | MS. MARY KATHERINE PENDLETON |
Credential | ARNP |
Practice Address |
405 Lake Zurich Rd Barrington IL 60010-3141 |
Practice Telephone | 8473815599 |
Practice Fax Number | 8473811431 |
Mailing Telephone | 8473815599 |
Mailing Fax Number | 8473811431 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2016-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209014306 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LICENSE | 209014306 | 01 |
Street Address |
405 LAKE ZURICH RD |
City | BARRINGTON |
State | IL |
Zip Code | 60010-3141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194721217 | Christopher H Strayhorn | Internal Medicine | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2005-06-23 |
1942818745 | Pamela G Simoncelli | Social Worker | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2020-07-17 |
1720562002 | Laura L Nordgren | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2018-09-21 |
1902342777 | Yelena Sokolovsky | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2017-01-17 |
1801339981 | Melissa A Wegner | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2016-11-22 |
1972050623 | Paula Beltran | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2016-09-09 |
1295193860 | Hanneli M Fanega | Clinical Nurse Specialist | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2016-02-10 |
1457741548 | Ravinder Kaur Saini | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2015-01-28 |
1013305705 | Katherine Joy Horton | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2015-01-02 |
1811308844 | Maureen Ryan | Social Worker | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2014-05-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
Find all providers in zip 60010 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1225069966 | Wound Healing Solutions LLC | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2006-07-05 |
1215968680 | Beverley Hyacinth Wright | Nurse Practitioner | 600 Clements Bridge Road, Barrington, NJ 08007-1814 | 2006-07-05 |
1407343288 | Joann V Caintic | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2018-04-17 |
1942710884 | Margaret Kathryn Black | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2017-10-05 |
1033648738 | Krystle Lee Disorbo | Nurse Practitioner | 944 Calef Hwy, Barrington, NH 03825-7244 | 2017-06-06 |
1932649159 | Larisa Ulvija Lukoss | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2017-03-07 |
1447795398 | Dawn Carson | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2017-01-02 |
1801345673 | Emily L Bruchas | Nurse Practitioner | 944 Calef Hwy, Barrington, NH 03825-7244 | 2016-09-22 |
1245603414 | Chinyi Lai | Nurse Practitioner | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2015-11-10 |
1457741548 | Ravinder Kaur Saini | Nurse Practitioner | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2015-01-28 |
Find all providers in BARRINGTON |
City | BARRINGTON |
Zip Code | 60010 |
Please comment or provide details below to improve the information on MS. MARY KATHERINE PENDLETON.
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.