LARISA SHTURMAK (NPI# 1639613623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639613623 |
Entity Type | Individual |
Full Name | LARISA SHTURMAK |
Credential | MSN, APN, NP-C |
Practice Address |
77 N Airlite St Elgin IL 60123-4912 |
Mailing Address |
5220 Belfort Rd Jacksonville FL 32256-6017 |
Practice Telephone | 8476953200 |
Mailing Telephone | 9044463400 |
Enumeration Date | 2016-12-09 |
Last Update Date | 2016-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.015260 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209.015260 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.015260 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
77 N AIRLITE ST |
City | ELGIN |
State | IL |
Zip Code | 60123-4912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073579991 | Lori D Mager | Dietitian, Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2006-04-21 |
1821641499 | Cep America - Illinois Intensivists, LLP | Internal Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-07-22 |
1215598743 | Victoria Rosinski | Nurse Anesthetist, Certified Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-06-25 |
1811475379 | Radiant Oncology Sc | Radiology | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-08-06 |
1740778034 | Kelly Filip | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-04-23 |
1619485372 | Rachael Marie Rochocki | Speech-Language Pathologist | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-01-16 |
1992239974 | Keith Michael Solvang | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2017-04-17 |
1861949034 | Priya V. Patel | Physician Assistant | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-09-06 |
1841745478 | Cep America - Illinois, LLP | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-08-24 |
1932504149 | Emily Jayn Pfeiffer | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2014-10-30 |
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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 | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356879456 | Grace Tran | Nurse Practitioner | 1990 Larkin Ave Ste 3, Elgin, IL 60123-5827 | 2017-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
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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.