BEVERLY WENDELL (NPI# 1366840407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366840407 |
| Entity Type | Individual |
| Full Name | BEVERLY WENDELL |
| Credential | MS, RN, GCNS-BC |
| Practice Address |
120 Spalding Dr Suite 111 Naperville IL 60540-6508 |
| Mailing Address |
120 Spalding Drive Suite 111 Naperville IL 60540 |
| Practice Telephone | 6306466118 |
| Mailing Telephone | 6306466118 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
209004755 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 SPALDING DR SUITE 111 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166210 | David Schlieben | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2005-07-07 |
| 1760915276 | Julie Ann Freeman | Nurse Practitioner | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2017-04-11 |
| 1770037947 | Jason Vick | Nurse Practitioner | 120 Spalding Dr, Suite 310, Naperville, IL 60540-6508 | 2016-08-05 |
| 1104209832 | Tania M Yackle | Social Worker | 120 Spalding Dr, 408, Naperville, IL 60540-6508 | 2015-06-30 |
| 1558740563 | Edward Health Ventures | Surgery | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2015-05-22 |
| 1518345008 | Heidi Meekma | Nurse Practitioner | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2015-05-15 |
| 1881088557 | Edward Health Ventures | Psychiatry & Neurology | 120 Spalding Dr, Ste 307, Naperville, IL 60540-6508 | 2015-03-20 |
| 1063830081 | Edward Health Ventures | Clinic/Center | 120 Spalding Dr, Ste 207, Naperville, IL 60540-6508 | 2014-04-07 |
| 1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
| 1760819650 | Edward Health Ventures | Internal Medicine | 120 Spalding Dr, Ste 401, Naperville, IL 60540-6508 | 2013-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614136 | Nanci H Stark | Clinical Nurse Specialist | 705 S Kensington Ave, La Grange, IL 60525-2708 | 2019-11-19 |
| 1376757773 | Mary Lynne Metz | Clinical Nurse Specialist | 2515 N Clark St Ste 907, Primary Care Medical Associates, Chicago, IL 60614-2720 | 2007-05-09 |
| 1598399693 | Kyle D. Kiesewetter | Clinical Nurse Specialist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-02-27 |
| 1851864839 | Joyce Despe | Clinical Nurse Specialist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-01-02 |
| 1578098265 | Melissi Lynn Cravens | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-05-01 |
| 1063955375 | Shara Frankenfeld | Clinical Nurse Specialist | 3200 Grant St, Evanston, IL 60201-1903 | 2016-11-18 |
| 1700250651 | Armita Saleki-hadavand | Clinical Nurse Specialist | 100 Village Grn Ste 120b, Lincolnshire, IL 60069-3094 | 2015-11-16 |
| 1982921003 | Sonia June Lee | Clinical Nurse Specialist | 2050 Claire Ct, Glenview, IL 60025-7635 | 2010-04-28 |
| 1215122734 | Laura Luc-gorby | Clinical Nurse Specialist | 5000 S 5th Ave, Geriatrics and Extended Care Bldg 217, Hines, IL 60141-3030 | 2007-09-07 |
| 1740408962 | Mary Ann Francisco | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.