WILLIAM LARSEN (NPI# 1356711584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356711584 |
| Entity Type | Individual |
| Full Name | WILLIAM LARSEN |
| Practice Address |
1530 N Randall Rd Ste 210 Elgin IL 60123-7879 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 2247607322 |
| Mailing Telephone | 4148584106 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085005642 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Powell St, Suite 900, Emeryville, CA 946081826 | 5103502777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083712301 | William Walter Larsen | Psychologist | 525 Itasca St, Grand Rapids, MN 55744-2965 | 2006-09-20 |
| 1124409099 | William Larsen | Nurse Practitioner | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2015-06-16 |
| 1164483004 | William G Larsen | Family Medicine | 7920 Moores Chapel Rd, Charlotte, NC 28214-9453 | 2006-03-30 |
| 1831197532 | William J Larsen | Audiologist | 1242 Hockman Pike, Bluefield, VA 24605-9351 | 2005-07-07 |
| Street Address |
1530 N RANDALL RD STE 210 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802281 | Merrie Viscarra | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2005-09-23 |
| 1548726912 | Daniel Joseph Ritz | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2019-02-11 |
| 1699263731 | Tracy Shadley | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2018-04-24 |
| 1629481411 | Latisha Kanika Anami | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-06-09 |
| 1164845152 | Elizabeth Jarrin | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-01-27 |
| 1184987497 | Jennifer K Barham | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2012-06-21 |
| 1487910121 | Sondra L Krahel | Registered Nurse | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2012-04-06 |
| 1730342593 | Neil Kishor Patel | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2008-07-02 |
| 1396922936 | Judith M Rossbach | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2008-01-25 |
| 1942372537 | Jason J Graf | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1548890775 | Meredith M Rintz | Physician Assistant | 2350 Royal Blvd Ste 300, Elgin, IL 60123-4718 | 2020-01-15 |
| 1578935896 | Jenny Brophy | Physician Assistant | 1600 N Randall Rd, Suite 400, Elgin, IL 60123-7803 | 2015-10-26 |
| 1285036103 | Daniel Newbrander | Physician Assistant | 370 Summit St, Elgin, IL 60120-3843 | 2014-09-23 |
| 1114358017 | Marcon Medical Partners Inc | Physician Assistant | 1140 N Mclean Blvd, Unit C, Elgin, IL 60123-1782 | 2013-12-03 |
| 1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
| 1730524695 | Sherrie Ann Fernandes | Physician Assistant | 1990 Larkin Ave, Suite 3, Elgin, IL 60123-5827 | 2013-05-06 |
| 1508073198 | Mario Jose Astacio | Physician Assistant | 1140 N Mclean Blvd, Suite C, Elgin, IL 60123-1782 | 2007-05-16 |
| 1821128398 | Cynthia Applehoff | Physician Assistant | 2350 Royal Blvd, Suite 300, Elgin, IL 60123-4719 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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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.