DR. STEPHEN NATHANIEL LARSON (NPI# 1700205382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205382 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN NATHANIEL LARSON |
| Credential | D.V.M. |
| Practice Address |
2845 Harlem Ave Berwyn IL 60402-2800 |
| Practice Telephone | 7087494200 |
| Practice Fax Number | 7087494269 |
| Mailing Telephone | 7087494200 |
| Mailing Fax Number | 7087494269 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 090-006654 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759619 | Stephen Mark Larson | Optometrist | 314 Main St S, Sauk Centre, MN 56378-1349 | 2006-09-13 |
| 1699883876 | Stephen James Larson | Dentist | 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 | 2006-08-28 |
| 1649230160 | Stephen Larson | Psychologist | 352 Hommelville Rd, Saugerties, NY 12477-4205 | 2006-03-27 |
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1851802680 | Stephen Michael Larson | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2017-10-19 |
| 1972980928 | Stephen Larson | Otolaryngology | 1120 15th St, Augusta, GA 30912-3403 | 2015-04-29 |
| 1972733467 | Stephen A Larson | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2009-07-20 |
| 1033276357 | Stephen Joseph Larson | Dentist | 612 Rockdale Ave, Cincinnati, OH 45229-2919 | 2007-01-03 |
| 1386755775 | Stephen Larson | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-08-31 |
| 1003838459 | Stephen M Larson | Dentist | 6411 Fannin St, Houston, TX 77030-1501 | 2006-07-24 |
| Street Address |
2845 HARLEM AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730420027 | James Franklin Norton Jr. | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-11 |
| 1619219417 | Christina Lee Novak | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-20 |
| 1346581568 | Sara Lynn Bennett | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730420027 | James Franklin Norton Jr. | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-11 |
| 1619219417 | Christina Lee Novak | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-20 |
| 1346581568 | Sara Lynn Bennett | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144602434 | Peter Haase | Veterinarian | 1195 E Palatine Rd, Arlington Heights, IL 60004-3313 | 2015-06-23 |
| 1720467335 | Sarah Pruss | Veterinarian | 2079 Lincoln Hwy, St Charles, IL 60174-1580 | 2015-05-28 |
| 1992190441 | Robert Robbins | Veterinarian | 4287 Eldamain Rd, Plano, IL 60545-9711 | 2015-04-01 |
| 1619369824 | Russell Jones | Veterinarian | 720 Kennedy Dr, Metropolis, IL 62960-2630 | 2015-02-25 |
| 1538566278 | Jennifer Armstrong | Veterinarian | 9351 Old Highway 13, Murphysboro, IL 62966-5530 | 2014-11-24 |
| 1700283587 | Catherine O'keefe | Veterinarian | 22096 N Pet Ln, Prairie View, IL 60069-4112 | 2014-11-22 |
| 1770992026 | Andrea Kuehn | Veterinarian | 225 W Division St, Chicago, IL 60610-1820 | 2014-08-11 |
| 1316362908 | Cherlene Delgado | Veterinarian | 820 W Frontage Rd, Northfield, IL 60093-1205 | 2014-02-19 |
| 1265855803 | Shawna Nicole Greene | Veterinarian | 2600 W. Galena Blvd., Aurora, IL 60506 | 2014-02-03 |
| 1922421882 | Christopher Shule | Veterinarian | 11711 Catalpa Ln, Woodstock, IL 60098-6924 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
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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.