PRESENCE SAINT JOSEPH HOSPITAL - ELGIN (NPI# 1891131082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891131082 |
| Entity Type | Organization |
| Organization Name | PRESENCE SAINT JOSEPH HOSPITAL - ELGIN |
| Other Organization Name | ANTICOAGULATION CLINIC |
| Practice Address |
77 N Airlite St Elgin IL 60123-4912 |
| Mailing Address |
1000 Remington Blvd Ste 100 Bolingbrook IL 60440-5114 |
| Practice Telephone | 8476953200 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MELVONNE JONES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6309142417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209006950 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 209008175 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Anticoagulation Clinic | Doing Business As Name - Organization |
| Street Address |
77 N AIRLITE ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579991 | Lori D Mager | Dietitian, Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2006-04-21 |
| 1821641499 | Cep America - Illinois Intensivists, LLP | Internal Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-07-22 |
| 1215598743 | Victoria Rosinski | Nurse Anesthetist, Certified Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-06-25 |
| 1811475379 | Radiant Oncology Sc | Radiology | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-08-06 |
| 1740778034 | Kelly Filip | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-04-23 |
| 1619485372 | Rachael Marie Rochocki | Speech-Language Pathologist | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-01-16 |
| 1992239974 | Keith Michael Solvang | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2017-04-17 |
| 1639613623 | Larisa Shturmak | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-12-09 |
| 1861949034 | Priya V. Patel | Physician Assistant | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-09-06 |
| 1841745478 | Cep America - Illinois, LLP | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-08-24 |
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| 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 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523711 | Tiffany Robinson | Nurse Practitioner | 50 S Grove Ave Unit 308, Elgin, IL 60120-6434 | 2020-09-17 |
| 1881171197 | Tina Perry | Nurse Practitioner | 87 N Airlite St Ste 100, Elgin, IL 60123-4986 | 2018-07-20 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1497397707 | Melissa Caryn Lopez | Nurse Practitioner | 2130 Point Blvd Ste 900, Elgin, IL 60123-9214 | 2019-10-09 |
| 1760957302 | Amy Amarathithada | Nurse Practitioner | 745 Fletcher Dr Ste 202, Elgin, IL 60123-4749 | 2018-10-10 |
| 1548743388 | Hemali Kumar | Nurse Practitioner | 745 Fletcher Dr Ste 202, Elgin, IL 60123-4749 | 2018-09-07 |
| 1427549393 | Devika R Patel | Nurse Practitioner | 801 Villa St, Elgin, IL 60120 | 2018-05-25 |
| 1104329036 | Stephanie Sue Nagarwalla | Nurse Practitioner | 1600 N Randall Rd Ste 400, Elgin, IL 60123-7805 | 2018-03-16 |
| 1649780933 | Priyanka Patel | Nurse Practitioner | 2400 Big Timber Rd, Elgin, IL 60124-7835 | 2017-10-02 |
| 1609398973 | Amanda Palermo | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2017-07-08 |
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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.