KATHLEEN BOERNER (NPI# 1508911918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508911918 |
| Entity Type | Individual |
| Full Name | KATHLEEN BOERNER |
| Credential | APN, CNM, MS |
| Practice Address |
2350 Royal Blvd Suite 600 Elgin IL 60123-4719 |
| Practice Telephone | 8479314747 |
| Practice Fax Number | 8479319602 |
| Mailing Telephone | 8479314747 |
| Mailing Fax Number | 8479319602 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0002X |
Registered Nurse Specialization: Obstetric, High-Risk |
IL | Nursing Service Providers |
| Street Address |
2350 ROYAL BLVD SUITE 600 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773101 | Brad L Epstein | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123-4719 | 2005-07-08 |
| 1689212623 | Fox Valley Orthopaedic Associates, S.c. | Orthopaedic Surgery | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2019-12-19 |
| 1235530080 | Cory Henry | Physical Therapist | 2350 Royal Blvd, #700, Elgin, IL 60123-4719 | 2014-09-11 |
| 1275973828 | Jessica Elaine Gronewold | Physical Therapist | 2350 Royal Blvd, Suite 700, Elgin, IL 60123-4719 | 2013-06-27 |
| 1427334473 | Katherine Anne Virnig | Physician Assistant | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4719 | 2011-10-21 |
| 1154578870 | Melissa Joy Miller | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123 | 2008-08-25 |
| 1962668616 | Amanda J Moore | Audiologist | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2008-08-01 |
| 1063635431 | Elio M Vento Md & Associates Sc | Internal Medicine | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4719 | 2007-04-11 |
| 1801910914 | Lizabeth Susan Rantissi | Physician Assistant | 2350 Royal Blvd, Ste 100, Elgin, IL 60123-4719 | 2007-03-16 |
| 1821128398 | Cynthia Applehoff | Physician Assistant | 2350 Royal Blvd, Suite 300, Elgin, IL 60123-4719 | 2007-03-06 |
| 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 | 163WX0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, High-Risk |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971514 | Patricia Fornoff | Registered Nurse | 1555 Barrington Rd Ste 335, Hoffman Estates, IL 60169-1064 | 2007-01-24 |
| 1023647443 | Sharon Obrien | Registered Nurse | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2020-04-07 |
| 1366949224 | Kayla Marie Hnilicka | Registered Nurse | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-04-09 |
| 1265805493 | Aisha Kendrick | Registered Nurse | 5841 S Maryland Ave, Mc1083 Center for Nursing Professional Practice and Res, Chicago, IL 60637-1447 | 2015-11-10 |
| 1023240587 | Tina M. Davis-larkin | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-08-18 |
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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.