LORIE ANNE CORCORAN


Address: 1401 E State St, 2nd Floor, Rockford, IL 61104-2315
Phone: 8159612460

LORIE ANNE CORCORAN (NPI# 1497035166) 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) 1497035166
Entity Type Individual
Full Name LORIE ANNE CORCORAN
Other Name LORIE ANNE TAZALLA
Credential APNP
Practice Address 1401 E State St
2nd Floor
Rockford
IL 61104-2315
Mailing Address Po Box 1567
Rockford
IL 61110-0067
Practice Telephone 8159612460
Practice Fax Number 8159675470
Mailing Telephone 7796967150
Mailing Fax Number 7796967342
Enumeration Date 2011-08-25
Last Update Date 2015-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
209009835 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1401 E STATE ST
2ND FLOOR
City ROCKFORD
State IL
Zip Code 61104-2315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003899196 Thomas Danko Pediatrics 1401 E State St, Rockford, IL 61104-2315 2005-11-22
1184232621 Sound Physicians Emergency Medicine of Illinois LLC Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-07-21
1235764556 Alexandra Paganis Nurse Practitioner 1401 E State St, Rockford, IL 61104-2315 2020-03-06
1538790266 Sherri L Paprocki Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-01-31
1417593310 Jason C Hipe Registered Nurse 1401 E State St, Rockford, IL 61104-2315 2019-11-26
1487298642 Matthew Montgomery Physical Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-31
1265076541 Sarah Kemp Occupational Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-30
1891341939 Swedishamerican Hospital Pharmacy 1401 E State St, Rockford, IL 61104-2315 2019-08-14
1306408885 Jonathan Ray Nelson Physical Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
1124680608 Kirsten Sympson Occupational Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760727010 Larisa Piton Nurse Practitioner 2400 N. Rockton Ave., Pain Management Dept, Rockford, IL 61103-3655 2012-11-27
1346856424 Keely K Zunker Nurse Practitioner 5666 E State St, Rockford, IL 61108-2472 2020-09-23
1669969275 Jaclyn C. Weidner Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-04-18
1295020907 Sarah Grace Cain Nurse Practitioner 2400 N Rockton Ave, Building 2, Suite 310, Rockford, IL 61103-3655 2011-06-10
1568795441 Denise M Nordenberg Nurse Practitioner 5668 E State St, Rockford, IL 61108-2464 2009-09-10
1306030119 Kathryn Rae Carlovsky Nurse Practitioner 5666 E State St, Rockford, IL 61108-2425 2007-09-05
1245300284 Meredydd Jane Harper Nurse Practitioner 535 Roxbury Rd, Rockford, IL 61107-5076 2006-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437759461 Sarah Westerman Nurse Practitioner 721 Dover Ct, Pingree Grove, IL 60140-9181 2020-10-28
1609485424 Intensive Karen LLC Nurse Practitioner 612 Mulford St Apt 503, Evanston, IL 60202-3531 2020-07-28
1609484591 Jennifer Kuczero Nurse Practitioner 4059 W 89th Pl, Hometown, IL 60456-1202 2020-07-16
1205452489 Aneta Trybula Nurse Practitioner 10604 W 154th Pl, Orland Park, IL 60462-6025 2020-06-23
1740742170 Jenna C Reeh Nurse Practitioner 1740 W Taylor St # 605e, Chicago, IL 60612-7232 2019-04-04
1588125116 Sherryl Estorque Nurse Practitioner 9033 W Heathwood Cir, Niles, IL 60714-5807 2019-03-27
1992276497 Laura Beth Miller Nurse Practitioner 302 W Hay St Ste 110, Decatur, IL 62526-4167 2018-12-09
1932674322 Ashleigh M Poptic Nurse Practitioner 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 2018-10-11
1215415039 Julieanne Ferguson Nurse Practitioner 251 E Huron St Dept Of, Chicago, IL 60611-2908 2018-08-02
1275024523 Lateisha Nicole Fort Nurse Practitioner 1222 E 170th St, South Holland, IL 60473-3558 2018-05-22
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Competitor

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City ROCKFORD
Zip Code 61104

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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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