MRS. TERRI LYN MCCREEDY


Address: 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602
Phone: 6308879400

MRS. TERRI LYN MCCREEDY (NPI# 1629292164) 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) 1629292164
Entity Type Individual
Full Name MRS. TERRI LYN MCCREEDY
Credential APN
Practice Address 555 Plainfield Rd
Suite B
Willowbrook
IL 60527-7602
Mailing Address 6524 Briargate Dr
Downers Grove
IL 60516-3016
Practice Telephone 6308879400
Mailing Telephone 6309711750
Enumeration Date 2007-04-13
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 555 PLAINFIELD RD
SUITE B
City WILLOWBROOK
State IL
Zip Code 60527-7602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710041017 Christopher Ross Mersinger Chiropractor 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602 2006-12-20
1336565415 Sabrina Ciesler Chiropractor 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602 2014-03-12
1700063302 Yu Zhu Acupuncturist 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602 2008-01-25
1811180813 Chirosource, Ltd. Chiropractor 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602 2007-08-22
1487718649 Healthsource of Willowbrook, Ltd. Chiropractor 555 Plainfield Rd, Suite B, Willowbrook, IL 60527-7602 2006-12-21
1760546840 Richard Francis Dale Chiropractor 555 Plainfield Rd, Suite C, Willowbrook, IL 60527-7602 2006-12-21
1457415531 Quest Fitness, Ltd. Chiropractor 555 Plainfield Rd, Suite C, Willowbrook, IL 60527-7602 2006-12-21

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City WILLOWBROOK
Zip Code 60527

Improve Information

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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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