MRS. NATALIE ELIZABETH WARMUTH


Address: 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711
Phone: 7732484150

MRS. NATALIE ELIZABETH WARMUTH (NPI# 1689096257) 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) 1689096257
Entity Type Individual
Full Name MRS. NATALIE ELIZABETH WARMUTH
Other Name MS. NATALIE ELIZABETH CHURCH
Credential PA-C
Practice Address 830 West Diversey Pkwy.
Suite 300
Chicago
IL 60614-8711
Practice Telephone 7732484150
Practice Fax Number 7732484291
Mailing Telephone 7732484150
Mailing Fax Number 7732484291
Enumeration Date 2014-01-15
Last Update Date 2016-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085004848 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 830 WEST DIVERSEY PKWY.
SUITE 300
City CHICAGO
State IL
Zip Code 60614-8711

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1366741449 Monica L Fiehler Physician Assistant 3537 Paysphere Cir, Chicago, IL 60674-0001 2011-03-15
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Competitor

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City CHICAGO
Zip Code 60614

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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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