MRS. TARYN SCHRADER (NPI# 1699163154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699163154 |
Entity Type | Individual |
Full Name | MRS. TARYN SCHRADER |
Practice Address |
21151 S Meadowview Ln Shorewood IL 60404-8368 |
Mailing Address |
16151 Weber Rd Suite 101 Crest Hill IL 60403-0863 |
Practice Telephone | 8154834232 |
Mailing Telephone | 8157737827 |
Mailing Fax Number | 8158382656 |
Enumeration Date | 2015-01-06 |
Last Update Date | 2016-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041.370276 | IL | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
309008558 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
21151 S MEADOWVIEW LN |
City | SHOREWOOD |
State | IL |
Zip Code | 60404-8368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
Find all providers in zip 60404 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992153860 | Keni O. Jegede | Nurse Practitioner | 21135 S Meadowview Ln, Shorewood, IL 60404-8368 | 2016-06-01 |
1942636881 | Kimberly Ann Gill | Nurse Practitioner | 1704 Fieldstone Dr S, Shorewood, IL 60404-7403 | 2013-09-24 |
1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
1356985329 | Jillian Michelle Weglarz | Nurse Practitioner | 1155 W Jefferson St, Shorewood, IL 60404-0701 | 2019-11-03 |
1598154247 | Mary Kluever | Nurse Practitioner | 850 Brook Forest Ave, Unit Q, Shorewood, IL 60404-8513 | 2015-01-19 |
1831588979 | Jayison Mccorkle | Nurse Practitioner | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2015-01-13 |
1801228580 | April D Kubinski | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404-8849 | 2013-08-05 |
1417397050 | Amy Vertin | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404-8849 | 2013-06-27 |
1255684072 | Traci Lynne Keyster | Nurse Practitioner | 611 W Jefferson St, Shorewood, IL 60404-3772 | 2012-10-17 |
1821348129 | Cheryl Patrice Harris | Nurse Practitioner | 1155 W Jefferson St, Shorewood, IL 60404-0701 | 2012-09-13 |
Find all providers in SHOREWOOD |
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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.