DEBRA ANN QUINLAN BETTENHAUSEN


Address: 5250 North Old Orchard Road, Suite 300, Skokie, IL 60077
Phone: 8477631791

DEBRA ANN QUINLAN BETTENHAUSEN (NPI# 1013345347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013345347
Entity Type Individual
Full Name DEBRA ANN QUINLAN BETTENHAUSEN
Credential BSN, RN
Practice Address 5250 North Old Orchard Road
Suite 300
Skokie
IL 60077
Mailing Address 113 Kimber Dr
New Lenox
IL 60451-1131
Practice Telephone 8477631791
Mailing Telephone 8153250949
Mailing Fax Number 8154620949
Enumeration Date 2013-10-23
Last Update Date 2018-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
041.279872 IL Nursing Service Providers

Office Location

Street Address 5250 NORTH OLD ORCHARD ROAD
SUITE 300
City SKOKIE
State IL
Zip Code 60077

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NPI Name Taxonomy Address Enumeration
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1811481070 Joseph Rubin Counselor 7929 Lincoln Ave Ste 202, Skokie, IL 60077 2018-06-20
1245721067 Lipnick Orthopaedics S.c. Orthopaedic Surgery 4856 Oakton Street, Skokie, IL 60077 2018-05-29
1376034991 Karen Bradley Nurse Practitioner 5143 Coyle Ave, Skokie, IL 60077 2018-05-21
1093217036 Arnold Arellano Pedorthist 5202 Old Orchard Road, N100, Skokie, IL 60077 2018-03-06
1043722408 Carolyn Mary Jarozewski I Registered Nurse 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 2017-10-25
1841718400 Katie Kluga Nurse Practitioner 9977 Woods Drive Suite 300, Skokie, IL 60077 2017-09-05
1265950091 Larry Asher Sidel Counselor 9530 Lamon Pl.apt 110, Skokie, IL 60077 2017-08-31
1578088639 Eleni Toumplis Pharmacist 4955 Dempster St, Skokie, IL 60077 2017-08-10
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1336619188 Sutara M Giles Registered Nurse 13933 Laramie Ave Apt 205, Crestwood, IL 60418-1654 2018-12-04
1487124335 Albeza Veronica Ruiz Registered Nurse 2331 199th St, Lynwood, IL 60411-9665 2018-12-03
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1891262226 Cyndril Bendijo Carreon-palencia Registered Nurse 1900 W Polk St Rm 154, Chicago, IL 60612-3723 2018-10-24
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Competitor

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City SKOKIE
Zip Code 60077

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Dataset Information

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.

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