MS. MARY BETH WERTZ (NPI# 1245587898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245587898 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH WERTZ |
| Credential | RN |
| Practice Address |
100 N Jeffery Street Kankakee IL 60901 |
| Mailing Address |
817 N Prairie View Dr Kankakee IL 60901-7399 |
| Practice Telephone | 8159398501 |
| Mailing Telephone | 8153709282 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
041.207211 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748589 | Mary Ann Wertz | Counselor | 8120 Sheridan Blvd Ste 206b, Westminster, CO 80003-6142 | 2018-01-23 |
| Street Address |
100 N JEFFERY STREET |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1124314349 | Gaurang Gujarathi | Internal Medicine | 1710 W Court St, Kankakee, IL 60901 | 2011-06-27 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1255811964 | Charles Robert Sanders | Registered Nurse | 118 Timber Trl, Carterville, IL 62918-2377 | 2018-08-21 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1396978441 | Karen Kelly | Registered Nurse | Campus Box 1066, Southern Illinois University Edwardsville, Edwardsville, IL 62026-1066 | 2009-08-24 |
| 1447490305 | Marc Emile Hallez | Registered Nurse | 1630 W Congress Parkway, Rush Health Associates, Chicago, IL 60612 | 2009-03-04 |
| 1205001641 | Linda F Samson | Registered Nurse | 20676 Francisca Way, Frankfort, IL 60423-3126 | 2008-04-28 |
| 1255504155 | Joyce N Onyenso | Registered Nurse | 1037 Monterey Ct, University Park, IL 60466 | 2008-04-11 |
| 1043491210 | Barbara Ann Finnie | Registered Nurse | 400 South Main Cross Street, Galatia, IL 62935 | 2007-11-16 |
| 1457564874 | Susan Marie Quillin | Registered Nurse | The Association for Individual Development (aid), 309 New Indian Trail Court, Aurora, IL 60506-2494 | 2007-05-08 |
| 1134240989 | Ila Mae Minnick | Registered Nurse | 7604 Bridlewood Rd, Caledonia, IL 61011-9013 | 2007-04-02 |
| 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.