CARRIE DEFUSS (NPI# 1710486063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710486063 |
| Entity Type | Individual |
| Full Name | CARRIE DEFUSS |
| Other Name | CARRIE DEFUSS |
| Practice Address |
1541 Riverboat Center Dr Joliet IL 60431-9341 |
| Practice Telephone | 8154094930 |
| Practice Fax Number | 8157413263 |
| Mailing Telephone | 8154094930 |
| Mailing Fax Number | 8157413263 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017215 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1541 RIVERBOAT CENTER DR |
| City | JOLIET |
| State | IL |
| Zip Code | 60431-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289129 | Ryan Manecke | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-01-16 |
| 1194188383 | Ryan Lewis | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2016-04-04 |
| 1235403130 | Peter Tek | Family Medicine | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2012-02-24 |
| 1013248574 | Elizabeth Ann Bean | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2010-01-23 |
| 1831398445 | Constance A Marks | Specialist | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-07-13 |
| 1003032293 | Tasha Dawn Horsley | Nurse Practitioner | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-04-17 |
| 1588760144 | Vera Petras | Radiology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-09-14 |
| 1164531034 | Sandeep Sawhney | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-08-30 |
| 1396758553 | Advanced Urology Associates Sc | Specialist | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-08-15 |
| 1669400933 | Luke S Cho | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751963 | Giedre Pritchard | Nurse Practitioner | 1020 Pine View Dr, Joliet, IL 60432-0759 | 2019-07-10 |
| 1336707611 | Leigh Ann Ankeney | Nurse Practitioner | 1106 Addleman St, Joliet, IL 60431-8764 | 2019-06-03 |
| 1689238420 | Nisha Cyriac | Nurse Practitioner | 3077 W Jefferson St Ste 104, Joliet, IL 60435-5263 | 2019-04-26 |
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1245750579 | Rachael W Gathonjia | Nurse Practitioner | 815 N Larkin Ave Ste 105, Joliet, IL 60435-3454 | 2017-06-27 |
| 1912431248 | Raquel Welch | Nurse Practitioner | 330 Madison St Ste 202, Joliet, IL 60435-5683 | 2017-04-13 |
| 1578902839 | Jennifer Louise Hazard | Nurse Practitioner | 3200 Caton Farm Rd, Joliet, IL 60431-1202 | 2013-06-20 |
| 1932470770 | Carol Ann Smolik | Nurse Practitioner | 114 Barney Dr, Joliet, IL 60435-6404 | 2012-01-25 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1538117445 | Mary E. Maragos | Nurse Practitioner | 500 Wilcox St, Joliet, IL 60435-6169 | 2006-05-04 |
| Find all providers in JOLIET | ||||
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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.