KATHLEEN L KRETCHMER


Address: 360 Station Dr, Crystal Lake, IL 60014-7978
Phone: 8153386600

KATHLEEN L KRETCHMER (NPI# 1053753582) 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) 1053753582
Entity Type Individual
Full Name KATHLEEN L KRETCHMER
Credential R.N., C.D.E
Practice Address 360 Station Dr
Crystal Lake
IL 60014-7978
Practice Telephone 8153386600
Practice Fax Number 8153562388
Mailing Telephone 8153386600
Mailing Fax Number 8153562388
Enumeration Date 2013-07-25
Last Update Date 2013-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
041304879 IL Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE PTAN 962341 01

Office Location

Street Address 360 STATION DR
City CRYSTAL LAKE
State IL
Zip Code 60014-7978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003815770 Sandra Jaeschke Nurse Practitioner 360 Station Dr, Crystal Lake, IL 60014-7978 2005-07-15
1801351648 Jennifer A Garrels Nurse Practitioner 360 Station Dr, Crystal Lake, IL 60014-7978 2019-02-06
1285099622 Juliana Gonzales-hannon Nurse Practitioner 360 Station Dr, Crystal Lake, IL 60014 2015-12-30
1487025615 Tonya Renee Fisher Registered Nurse 360 Station Dr, Crystal Lake, IL 60014 2015-10-14
1174917595 Accelerated Rehabilitation Centers, Ltd Physical Therapist 360 Station Dr, Suite 250, Crystal Lake, IL 60014-7978 2015-03-24
1811305329 Rachel K Ash Nurse Practitioner 360 Station Dr, Crystal Lake, IL 60014 2014-07-28
1518383264 Susan J Bigham Registered Nurse 360 Station Dr, Crystal Lake, IL 60014 2014-03-05
1124362306 Children's Physician Group Pediatrics 360 Station Dr, Crystal Lake, IL 60014-7978 2012-11-12
1013261361 Jenna T Winsko Nurse Practitioner 360 Station Dr, Suite 120, Crystal Lake, IL 60014-7978 2012-11-07
1457603557 Carol Kotzan Md LLC Internal Medicine 360 Station Dr, Suite 201, Crystal Lake, IL 60014-7978 2012-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497394720 Lorelei Mariano Physical Therapist 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 2020-01-03
1396227070 Behavioral Services for Autism, Inc Behavioral Analyst 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 2018-08-30
1831635564 Isis Mendoza-garnica Counselor 6803 Rose Ave, Crystal Lake, IL 60014 2017-01-19
1134664402 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 2016-12-22
1306394051 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 177 W Virginia Street, Crystal Lake, IL 60014 2016-09-12
1124492830 Align Spine & Orthopaedics Durable Medical Equipment & Medical Supplies 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 2015-11-18
1558747428 Shabana Nawaz Optometrist 4777 Northwest Highway, Crystal Lake, IL 60014 2015-08-03
1548649205 Daniel Okon Social Worker 304 Charllote Ave, Crystal Lake, IL 60014 2015-05-27
1154729838 Crystal Lake Center for Chronic Pain Sc Nurse Practitioner 1 South Northwest Highway, Crystal Lake, IL 60014 2014-12-12
1558763581 Brooke Nicole Grandt Occupational Therapist 394 Heisler Ct, Crystal Lake, IL 60014 2014-09-22
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619205036 Randi Y Barbon Registered Nurse 360 Station Dr, 3rd Floor, Crystal Lake, IL 60014-7978 2009-11-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508485954 Melissa M Ptak Registered Nurse 605 W Central Rd Ste 101, Arlington Heights, IL 60005-2389 2020-04-15
1790260552 Highland Park Cvs, L.L.C. Registered Nurse 800 Carlyle Ave, Belleville, IL 62221-5509 2018-09-27
1770035636 Highland Park Cvs, L.l.c Registered Nurse 10405 N Centerway Dr, Peoria, IL 61615-1233 2016-10-26
1114384583 Debra Newbolds Registered Nurse 117 Weisbrook Ln, Carterville, IL 62918-2320 2016-01-15
1093022360 Andrea Gebhart Registered Nurse 3722 S. Harlem Ave., Suite 202, Riverside, IL 60546 2010-09-08
1013148295 Clara May Miller Registered Nurse 1025 Bonnie Brae Pl, River Forest, IL 60305-1513 2009-08-05
1801007422 Elyssa Joy Springer Registered Nurse 251 E Huron, Northwestern Memorial Hospital # 4-508, Chicago, IL 60611 2007-05-25
1245390285 Highland Park Cvs, L.L.C. Registered Nurse 2642 Charles St, Rockford, IL 61108-1671 2006-12-11
1548296890 Highland Park Cvs, L.L.C. Registered Nurse 1129 W Broadway, Centralia, IL 62801-5353 2006-06-25
1376579623 Highland Park Cvs, L.L.C. Registered Nurse 109 N Mattis Ave, Champaign, IL 61821-3059 2006-06-25
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Competitor

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City CRYSTAL LAKE
Zip Code 60014

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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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