MARK KRUSZEWSKI (NPI# 1255625281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255625281 |
Entity Type | Individual |
Full Name | MARK KRUSZEWSKI |
Credential | APN, CNP |
Practice Address |
3310 W Main St Suite 200 St Charles IL 60175-1000 |
Mailing Address |
2357 Sequoia Dr Aurora IL 60506-6222 |
Practice Telephone | 6308976044 |
Practice Fax Number | 6308970180 |
Mailing Telephone | 6308596800 |
Enumeration Date | 2011-06-07 |
Last Update Date | 2017-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209.008847 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3310 W MAIN ST SUITE 200 |
City | ST CHARLES |
State | IL |
Zip Code | 60175-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073512596 | Teresa L. Homan | Obstetrics & Gynecology | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2005-07-18 |
1689098261 | Meghan Anne Jones | Nurse Practitioner | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2014-02-18 |
1275796260 | Sarah Elizabeth Smith | Pediatrics | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2008-07-09 |
1316141203 | Thomas Dovidio | Pediatrics | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-06-13 |
1689888679 | Diane Bristol | Nurse Practitioner | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-05-09 |
1568682508 | Timothy Michael Bradley | Surgery | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-05-01 |
1235358920 | Fox Valley Women & Children's Health Partners Ltd | Obstetrics & Gynecology | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-04-24 |
1720199409 | Carla Denise Adams | Optometrist | 3310 W Main St, Suite 180, St Charles, IL 60175-1000 | 2006-08-31 |
1992714463 | Adams Eyecare, PC | Optometrist | 3310 W Main St, Suite 180, St Charles, IL 60175-1000 | 2006-08-05 |
1710906235 | Natalie K Roche | Obstetrics & Gynecology | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2006-07-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740733138 | Ryan Paul Kuebler | Dentist | 40w320 La Fox Rd., Suite D, St Charles, IL 60175 | 2016-08-02 |
1346602554 | Erica Witkowski | Specialist/Technologist | 6n 370 Crescent Lane, Saint Charles, IL 60175 | 2016-03-26 |
1437495728 | Bradley S Murison | Physical Therapist | 3381 W State St., Suite 100, St Charles, IL 60175 | 2012-12-14 |
1942507355 | Fox River & Countryside Fire/rescue District | Ambulance | 35w350 Carl Lee Road, St Charles, IL 60175 | 2011-02-21 |
1871825984 | Fay E Jackson | Counselor | 3140 W Route 64, St. Charles, IL 60175 | 2010-02-01 |
1801126941 | Philip James Kocisko | Counselor | 3140 W. Route 64, Saint Charles, IL 60175 | 2010-01-13 |
1891971529 | Caroline M Bollentino | Speech-Language Pathologist | 40w310 La Fox Rd, Suite A1-b1, St Charles, IL 60175 | 2008-01-11 |
1770783599 | Joy O Urubusi | Psychiatry & Neurology | 3825 Campton Hills Road, St Charles, IL 60175 | 2007-07-19 |
1225236052 | Anna Almase Medina | Dentist | 2445 Dean, 1c, St Charles, IL 60175 | 2007-07-03 |
1467666453 | Shelly Sinatra | Nurse Practitioner | 3310 W. Main St, Suite 200, St. Charles, IL 60175 | 2007-05-09 |
Find all providers in zip 60175 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558413054 | Kimberly Pieczynski | Nurse Practitioner | 2900 Foxfield Rd, Suite 203, St Charles, IL 60174-5799 | 2007-01-17 |
1942241492 | Christina L. Willis | Nurse Practitioner | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
Find all providers with the same taxonomy |
City | ST CHARLES |
Zip Code | 60175 |
Please comment or provide details below to improve the information on MARK KRUSZEWSKI.
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.