ELIZABETH BLACK (NPI# 1205194875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205194875 |
| Entity Type | Individual |
| Full Name | ELIZABETH BLACK |
| Credential | NP |
| Practice Address |
2650 Warrenville Rd 280 Downers Grove IL 60515-1748 |
| Practice Telephone | 6303247900 |
| Mailing Telephone | 6303247900 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71003918A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RN LICENSE | 71003918A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400371 | Elizabeth Black | Specialist | 6 Hampton Pl, Newburgh, NY 12550-3135 | 2018-09-12 |
| 1770606584 | Elizabeth Ann Black | Dentist | 14 Penn Plz Ste 400, New York, NY 10122-0490 | 2007-04-08 |
| 1932179025 | Elizabeth A Black | Physical Therapist | 7927 Se Orient Dr, Gresham, OR 97080 | 2006-01-23 |
| 1841854973 | Elizabeth Anne Renee Black | Counselor | 1000 Hastings St, Traverse City, MI 49686-3445 | 2019-04-24 |
| 1396212163 | Elizabeth Black | Social Worker | 3605 Vista Way Ste 258, Oceanside, CA 92056-4565 | 2018-10-30 |
| 1508371386 | Elizabeth Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2017-12-03 |
| 1881070191 | Elizabeth Black | Social Worker | 555 Sun Valley Dr, Roswell, GA 30076-5612 | 2015-08-10 |
| 1356729859 | Elizabeth Black | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-15 |
| 1043697113 | Elizabeth Ashley Black | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2015-04-28 |
| 1548675382 | Elizabeth Black | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062-1566 | 2014-06-30 |
| Street Address |
2650 WARRENVILLE RD 280 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235100397 | Srinivas Kolla | Surgery | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2006-01-27 |
| 1831719723 | Linda Yin | Pharmacist | 2650 Warrenville Rd, Downers Grove, IL 60515-1748 | 2020-04-20 |
| 1487027983 | Cardiac Surgery Associates, Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2015-11-05 |
| 1669860292 | Maura Jarka | Nurse Practitioner | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2015-01-06 |
| 1689918336 | Rebecca Plutz | Physician Assistant | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2012-11-19 |
| 1942573001 | Mackenzie Shallenberger | Physician Assistant | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2012-02-20 |
| 1558643999 | Scott Cavinder | Nurse Practitioner | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2011-09-12 |
| 1629089495 | Edgar G. Chedrawy | Surgery | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2006-08-10 |
| 1861409393 | Maureen E Moran | Physician Assistant | 2650 Warrenville Rd, Ste 280, Downers Grove, IL 60515 | 2006-08-01 |
| 1043269160 | Cardiac Surgery Associates Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784477 | Hannah Abigail Kulunkoglu | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515 | 2016-12-08 |
| 1366896193 | Lenah Radwan | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2016-04-18 |
| 1992167696 | Laura Cygan Higgins | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2016-03-22 |
| 1336491869 | Julie Mudge | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2012-10-08 |
| 1215294475 | Leeann Michelle Cacovean | Nurse Practitioner | 3825 Highland Ave, Tower 2 - Suite 400, Downers Grove, IL 60515-1552 | 2012-04-12 |
| 1215013909 | Julie Koerner | Nurse Practitioner | 3825 Highland Ave, 210, Downers Grove, IL 60515-1552 | 2006-10-27 |
| 1821016213 | Patricia A May | Nurse Practitioner | 3825 Highland Ave, Suite 400 Attn Jan Lewis, Downers Grove, IL 60515-1552 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on ELIZABETH BLACK.
| 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.