KATHERINE DEMEULENAERE (NPI# 1598228488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598228488 |
| Entity Type | Individual |
| Full Name | KATHERINE DEMEULENAERE |
| Credential | NP |
| Practice Address |
2070 N State Route 50 Ste 500 Bourbonnais IL 60914 |
| Mailing Address |
2070 N State Route 50 Ste 500 Bourbonnais IL 60914-5507 |
| Practice Telephone | 7792364094 |
| Mailing Telephone | 7792364094 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041438860 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019277 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | REGISTER NURSE | 041438860 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2070 N Route 50, Suite 500, Bourbonnais, IL 609144632 | 7792364094 |
| Street Address |
2070 N STATE ROUTE 50 STE 500 |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396293593 | Kaitlyn Steinberg | Nurse Practitioner | 2070 N State Route 50 Ste 500, Bourbonnais, IL 60914 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023593225 | Wendy A Siegert | Nurse Practitioner | 461 Brown Blvd Ste A, Bourbonnais, IL 60914-2463 | 2018-10-03 |
| 1396293593 | Kaitlyn Steinberg | Nurse Practitioner | 2070 N State Route 50 Ste 500, Bourbonnais, IL 60914 | 2016-09-15 |
| 1699221374 | Kaitlain Cavender | Nurse Practitioner | 430 Stone Cutter Dr, Bourbonnais, IL 60914-4975 | 2016-08-31 |
| 1780073700 | Zeny Murphy | Nurse Practitioner | 475 Brown Blvd Ste 103, Bourbonnais, IL 60914-2325 | 2015-01-14 |
| 1396715546 | Elizabeth D. Deck | Nurse Practitioner | 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914-5004 | 2006-01-23 |
| 1699337329 | Rose M. Hernandez | Nurse Practitioner | 1 University Ave, Bourbonnais, IL 60914-2345 | 2019-07-02 |
| 1104399237 | Kristin Miller | Nurse Practitioner | 656 N Convent St Ste B, Bourbonnais, IL 60914-1393 | 2019-01-11 |
| 1144737123 | Tara A Campo | Nurse Practitioner | 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914-5004 | 2017-12-29 |
| 1073979654 | Sarah Jeanette Coyne | Nurse Practitioner | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2016-01-12 |
| 1235524711 | Melissa Rivette | Nurse Practitioner | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2015-04-01 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on KATHERINE DEMEULENAERE.
| 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.