MRS. LORIN GENE BRODY (NPI# 1992234306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992234306 |
Entity Type | Individual |
Full Name | MRS. LORIN GENE BRODY |
Other Name | LORIN GENE FLISK |
Credential | FNP |
Practice Address |
1710 N Randall Rd 160 Elgin IL 60123 |
Mailing Address |
1710 N Randall Rd Ste 160 Elgin IL 60123-9403 |
Practice Telephone | (847) 741-4376 |
Practice Fax Number | 8477415331 |
Mailing Telephone | 8477414376 |
Mailing Fax Number | 8477415331 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2018-02-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015534 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1710 N RANDALL RD 160 |
City | ELGIN |
State | IL |
Zip Code | 60123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851398218 | Gulzar Fidai | Internal Medicine | 1710 N Randall Rd, 380, Elgin, IL 60123-4902 | 2005-06-30 |
1992285613 | Chul Jong David Kim | Physical Therapist | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2018-08-21 |
1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
1821549064 | Amanda Robinson | Physician Assistant | 1710 N Randall Rd, 160, Elgin, IL 60123-9400 | 2016-10-24 |
1710330154 | Jordan Altieri | Physical Therapy Assistant | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-07-21 |
1902263486 | Lisa Gallagher | Counselor | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-01-28 |
1669888558 | Jennifer Chang | Physician Assistant | 1710 N Randall Rd, Suite #160, Elgin, IL 60123-9400 | 2014-07-11 |
1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
1225473952 | Orthopedic & Spine Surgery Assoc Ltd | Durable Medical Equipment & Medical Supplies | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-08 |
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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 |
Find all providers in zip 60123 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496328 | Kellie Soria | Nurse Practitioner | 8600 Showers Dr, Elgin, TX 78621-5278 | 2020-10-26 |
1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
1083266878 | Jean K Kombwa | Nurse Practitioner | 66 Grove Ct, Elgin, IL 60120-5588 | 2019-07-11 |
1407416324 | Gloria Benoit Williams | Nurse Practitioner | 889 Royal Oak Way, Elgin, SC 29045-8012 | 2019-06-13 |
1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
1598204638 | Kimberly Horton | Nurse Practitioner | 153 Dawson Dr, Elgin, IL 60120-6409 | 2017-02-22 |
1073961314 | Annie Kluch | Nurse Practitioner | 801 Villa St, Elgin, IL 60120-8001 | 2016-05-26 |
1639543937 | Grace Marie Roxas | Nurse Practitioner | 2025 Salem Road, Elgin, IL 60123-9006 | 2015-11-24 |
1942674585 | Monica Rose Herdrich | Nurse Practitioner | 1665 Larkin Ave, Elgin, IL 60123-5977 | 2015-11-19 |
1073995916 | Betty Lois Pratt | Nurse Practitioner | 373 Summit St Ste 102, Elgin, IL 60120-3748 | 2015-06-28 |
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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.