HEATHER ROSE KRUSEMARK (NPI# 1861014318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861014318 |
| Entity Type | Individual |
| Full Name | HEATHER ROSE KRUSEMARK |
| Credential | NP |
| Practice Address |
1425 N Randall Rd Elgin IL 60123-2300 |
| Mailing Address |
111 Evergreen Dr Frankfort IL 60423-1508 |
| Practice Telephone | 8477429800 |
| Mailing Telephone | 7087380497 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209021094 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 N RANDALL RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
| 1740888221 | Sylvia Moreno | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-10-15 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1669011342 | Ashley Krynski | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-12-30 |
| 1023650132 | Nicole Carpenter | Counselor | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-10-09 |
| 1326507963 | Karen Sue Mcgann | Occupational Therapy Assistant | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-03-13 |
| 1033676978 | Jaclyn Mastrangeli | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-02-27 |
| 1508368523 | Abby Chovanec | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2018-03-06 |
| 1891210647 | Pratixa Patel | Registered Nurse | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2017-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659770998 | Holly Renee Wolford | Nurse Practitioner | 1710 N Randall Rd Ste 260, Elgin, IL 60123-9402 | 2014-08-21 |
| 1851833644 | Christopher Mills | Nurse Practitioner | 1990 Larkin Ave Ste 3, Elgin, IL 60123-5827 | 2016-11-09 |
| 1376988196 | Jennifer L Winkler | Nurse Practitioner | 164 Division St, 607, Elgin, IL 60120-5587 | 2013-05-07 |
| 1629310503 | Emmanuel Roberto Angeles | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
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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.