MRS. AGNIESZKA STANISLAWA BASTA (NPI# 1598274466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598274466 |
| Entity Type | Individual |
| Full Name | MRS. AGNIESZKA STANISLAWA BASTA |
| Credential | APN |
| Practice Address |
1201 Eagle Street Joliet IL 60432 |
| Mailing Address |
24522 North Kelsey Road Lake Barrington IL 60010 |
| Practice Telephone | 8157408100 |
| Mailing Telephone | 8472244576 |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2017-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016452 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 EAGLE STREET |
| City | JOLIET |
| State | IL |
| Zip Code | 60432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104872761 | Hines Vamc | Clinic/Center | 1201 Eagle Street, Joliet, IL 60432-2031 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751963 | Giedre Pritchard | Nurse Practitioner | 1020 Pine View Dr, Joliet, IL 60432-0759 | 2019-07-10 |
| 1336707611 | Leigh Ann Ankeney | Nurse Practitioner | 1106 Addleman St, Joliet, IL 60431-8764 | 2019-06-03 |
| 1689238420 | Nisha Cyriac | Nurse Practitioner | 3077 W Jefferson St Ste 104, Joliet, IL 60435-5263 | 2019-04-26 |
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1245750579 | Rachael W Gathonjia | Nurse Practitioner | 815 N Larkin Ave Ste 105, Joliet, IL 60435-3454 | 2017-06-27 |
| 1912431248 | Raquel Welch | Nurse Practitioner | 330 Madison St Ste 202, Joliet, IL 60435-5683 | 2017-04-13 |
| 1578902839 | Jennifer Louise Hazard | Nurse Practitioner | 3200 Caton Farm Rd, Joliet, IL 60431-1202 | 2013-06-20 |
| 1932470770 | Carol Ann Smolik | Nurse Practitioner | 114 Barney Dr, Joliet, IL 60435-6404 | 2012-01-25 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1538117445 | Mary E. Maragos | Nurse Practitioner | 500 Wilcox St, Joliet, IL 60435-6169 | 2006-05-04 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on MRS. AGNIESZKA STANISLAWA BASTA.
| 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.