JILL SUZANNE HARTWIG (NPI# 1720121973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121973 |
| Entity Type | Individual |
| Full Name | JILL SUZANNE HARTWIG |
| Credential | BA CADC |
| Practice Address |
2704 N Main St Rockford IL 61103 |
| Mailing Address |
5035 Linden Rd Rockford IL 61109-5840 |
| Practice Telephone | 8159689300 |
| Mailing Telephone | 8155602399 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 S 4th St, Oregon, IL 610611609 | 8157323157 |
| Street Address |
2704 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209736 | Kristie L Miller | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2020-03-10 |
| 1033763446 | Linda Haugen | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2019-07-25 |
| 1790240935 | Jamie Motos | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2019-02-01 |
| 1780153064 | Kaitlyn Folliard | Social Worker | 2704 N Main St, Rockford, IL 61103-3112 | 2018-11-16 |
| 1871077354 | Brittany Torres | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-20 |
| 1447734256 | Careena Whisper-marie Barker | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-18 |
| 1255814620 | Kevin Smerko | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1467935791 | Dana Harder | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1396228631 | Nirandone Thammarath | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1073095923 | Natalie Hanna | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003319781 | Stephanie Yates | Counselor | 433 Phelps Ave Ste 2, Rockford, IL 61108-2442 | 2018-03-09 |
| 1154799427 | Darcie Hanna | Counselor | 4984 Riveroaks Road, Rockford, MN 55373-1100 | 2015-09-03 |
| 1588909923 | Restore Counseling & Recovery, Inc. | Counselor | 7210 E State St, Suite 206, Rockford, IL 61108-2622 | 2012-12-11 |
| 1497982151 | Jonathan Scott Nelson | Counselor | 129 Phelps Ave Ste 204, Rockford, IL 61108-2447 | 2009-06-19 |
| 1376634394 | Alison Wintrode | Counselor | 5301 East State St., #302, Rockford, IL 61108 | 2006-09-27 |
| 1659354330 | Jacalyn Dale Fischer-casey | Counselor | 631 N Longwood St, Ste 203, Rockford, IL 61107-4266 | 2005-11-27 |
| 1770196537 | Alexandra Lundsteen | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2020-08-30 |
| 1306464185 | Lisa Espig | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-07-08 |
| 1619521945 | Beth Marie Mutton | Counselor | 7294 Argus Dr, Rockford, IL 61107-5837 | 2019-07-25 |
| 1770991820 | Ann Marie Petty | Counselor | 1200 W State St, Rockford, IL 61102-2112 | 2014-07-31 |
| Find all providers in ROCKFORD | ||||
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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.