BRYAN FILL (NPI# 1063829372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063829372 |
| Entity Type | Individual |
| Full Name | BRYAN FILL |
| Credential | APN |
| Practice Address |
25 North Winfield Road Cdh-flr 4-north Tower Winfield IL 60190-1295 |
| Practice Telephone | 6309334267 |
| Mailing Telephone | 6309334267 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041375998 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209011835 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN INDIVIDUAL | F400228277 | 01 |
| IL | MEDICARE PTAN GROUP | 206147 | 01 |
| Street Address |
25 NORTH WINFIELD ROAD CDH-FLR 4-NORTH TOWER |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272634 | Katalin Z. Russay | Anesthesiology | 25 North Winfield Road, Winfield, IL 60190 | 2005-08-10 |
| 1306291687 | Kim Tavajian | Nurse Practitioner | 25 North Winfield Road, Winfield, IL 60190-1295 | 2016-04-25 |
| 1023429065 | Izabela Agnieszka Holanday | Physician Assistant | 25 North Winfield Road, Winfield, IL 60190-1295 | 2014-05-13 |
| 1265850705 | Sara Cherny | Genetic Counselor, MS | 25 North Winfield Road, Winfield, IL 60190 | 2014-04-02 |
| 1376960872 | Patricia Lynn Brown | Nurse Practitioner | 25 North Winfield Road, Suite 103, Winfield, IL 60190-1295 | 2014-03-21 |
| 1851734040 | John Patrick Reid | Internal Medicine | 25 North Winfield Road, Winfield, IL 60190 | 2013-04-08 |
| 1407196561 | Joan Lorraine Matthews | Physician Assistant | 25 North Winfield Road, Suite 405, Winfield, IL 60190 | 2013-02-26 |
| 1326396854 | Nicole Marie Bettin | Physical Therapist | 25 North Winfield Road, Suite 506, Winfield, IL 60190 | 2012-08-15 |
| 1770838450 | Jenna Szybowicz | Speech-Language Pathologist | 25 North Winfield Road, Rehabilitation Services, Winfield, IL 60190-1295 | 2012-07-18 |
| 1649525361 | Elizabeth L Binder | Occupational Therapist | 25 North Winfield Road, Winfield, IL 60190 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| 1114588845 | Regina Dwn Davis | Nurse Practitioner | 72 Blackberry Ln, Winfield, WV 25213-9364 | 2019-06-24 |
| 1639607120 | Kristan Blake May | Nurse Practitioner | 125 Henry Ln, Winfield, AL 35594-9028 | 2017-05-26 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1275939829 | Sarah Michelle Swisher | Nurse Practitioner | 16 Dartmouth St, Winfield, WV 25213 | 2014-11-10 |
| 1346516259 | Jamie A Harrington | Nurse Practitioner | 1230 E 6th Ave Ste 2d, Winfield, KS 67156-3145 | 2012-03-25 |
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1588288245 | Laura Michelle Thielen | Nurse Practitioner | 1700 E 9th Ave, Winfield, KS 67156-3220 | 2020-05-28 |
| 1457972622 | Blair D G Watkins | Nurse Practitioner | 1809 Main St, Winfield, KS 67156-4935 | 2020-04-29 |
| Find all providers in WINFIELD | ||||
Please comment or provide details below to improve the information on BRYAN FILL.
| 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.