MARK KRUSZEWSKI


Address: 3310 W Main St, Suite 200, St Charles, IL 60175-1000
Phone: 6308976044

MARK KRUSZEWSKI (NPI# 1255625281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3310 W MAIN ST
SUITE 200
City ST CHARLES
State IL
Zip Code 60175-1000

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ST CHARLES
Zip Code 60175

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Dataset Information

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.

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