MRS. ELIZABETH ANN WIRTH (NPI# 1245758416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245758416 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH ANN WIRTH |
Other Name | ELIZABETH ANN WEINDORFER |
Credential | ACNS-BC |
Practice Address |
500 N Wall St Kankakee IL 60901-2942 |
Practice Telephone | 8444044787 |
Practice Fax Number | 8159363243 |
Mailing Telephone | 8444044787 |
Mailing Fax Number | 8159363243 |
Enumeration Date | 2017-09-07 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209.008565 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1601 Butterfield Trl, Kankakee, IL 609012959 | 8159366500 | 8159366502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194250050 | Elizabeth Wirth | Nurse Practitioner | 160 E 34th St Fl 9, New York, NY 10016-4744 | 2017-04-27 |
1376153007 | Elizabeth Juliette Wirth | Registered Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-08-07 |
1255643920 | Elizabeth L Wirth | Registered Nurse | 8266 Atlee Rd, 133, Mechanicsville, VA 23116-1804 | 2010-07-09 |
1073824959 | Elizabeth D Wirth | Obstetrics & Gynecology | 26 Nesbitt Rd, Suite 102, New Castle, PA 16105-3410 | 2010-06-25 |
Street Address |
500 N WALL ST |
City | KANKAKEE |
State | IL |
Zip Code | 60901-2942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649265026 | Lambros C Chrones | Psychiatry & Neurology | 500 N Wall St, Suite 200, Kankakee, IL 60901-2942 | 2005-09-13 |
1477062172 | Cheryl D Rogers | Nurse Practitioner | 500 N Wall St, Kankakee, IL 60901-2942 | 2017-09-25 |
1124546221 | Andrew J Donofrio | Physician Assistant | 500 N Wall St, Kankakee, IL 60901-2942 | 2017-09-08 |
1568708667 | Karla Schweigert | Nurse Practitioner | 500 N Wall St, Kankakee, IL 60901-2942 | 2012-12-17 |
1588911333 | Shiva Prasad Shashidharan | Internal Medicine | 500 N Wall St, Kankakee, IL 60901 | 2012-08-11 |
1295964872 | Amit Zachariah | Internal Medicine | 500 N Wall St, Kankakee, IL 60901-2942 | 2009-07-05 |
1992959555 | Dawit Amare | Psychiatry & Neurology | 500 N Wall St, Ste. 200, Kankakee, IL 60901-2942 | 2008-11-10 |
1376709758 | Nha T Huynh | Internal Medicine | 500 N Wall St, Kankakee, IL 60901-2942 | 2008-08-05 |
1316111693 | Alaa E Abdel-meguid, M.d., S.c. | Internal Medicine | 500 N Wall St, Suite 501, Kankakee, IL 60901-2942 | 2008-04-17 |
1336339381 | Abhimanyu Beri | Internal Medicine | 500 N Wall St, Kankakee, IL 60901-2942 | 2007-07-26 |
Find all providers in the same location |
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 |
1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
Find all providers in zip 60901 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194070458 | Ashley M Chappell | Clinical Nurse Specialist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2012-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
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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.