MISS EMILY CATHERINE LUTGEN (NPI# 1073098380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073098380 |
| Entity Type | Individual |
| Full Name | MISS EMILY CATHERINE LUTGEN |
| Credential | PA-C |
| Practice Address |
11475 N 2nd St Machesney Park IL 61115-1285 |
| Mailing Address |
12184 Bend River Rd Roscoe IL 61073-8695 |
| Practice Telephone | 8156548000 |
| Mailing Telephone | 8159974100 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11475 N 2ND ST |
| City | MACHESNEY PARK |
| State | IL |
| Zip Code | 61115-1285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073590204 | Terry Buzzard | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-29 |
| 1609475672 | Meaghan Elizabeth Reed | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2020-10-21 |
| 1962658435 | Jennifer Lynn Speer | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2008-08-15 |
| 1780692418 | Flotillo Bruce Watkins | Obstetrics & Gynecology | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-08-05 |
| 1164430849 | Lisa Schuld | Physical Therapist | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-08-04 |
| 1477597524 | Brad Lyn Hartwig | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-06-16 |
| 1578541470 | Mark Vananrooy | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-01-03 |
| 1124006010 | Anna Ellerbroek | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-01-03 |
| 1922086818 | Erik Oksnevad | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-01-03 |
| 1356328363 | Joshua Newman | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675087 | Mary B O'meara | Nurse Practitioner | 9721 N Alpine, Machesney Park, IL 61115 | 2019-02-14 |
| 1518486398 | Jordyn Morris | Speech-Language Pathologist | 710 Ralston Rd, Machesney Park, IL 61115 | 2017-09-13 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1922326271 | Mitalkumar K Patel | Dentist | 1363 W. Lane Road, Machesney Park, IL 61115 | 2010-05-12 |
| 1720134802 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1349 W Lane Rd, Machesney Park, IL 61115 | 2007-01-25 |
| 1710371471 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1770 W Lane Rd, Machesney, IL 61115 | 2015-03-20 |
| 1225436546 | Susan Lynn Sherbon | Community/Behavioral Health | 251 Brentwood Rd, Machesney Park, IL 61115-1064 | 2014-12-18 |
| 1174872519 | Dana Lynn Slabaugh | Physical Therapist | 10510 Ventura Blvd, Machesney Park, IL 61115-1263 | 2012-08-30 |
| 1396033247 | Nancy Juanita Westbrook | Massage Therapist | 10118 Bluebonnet Drive, Machesney Park, IL 61115-1315 | 2011-07-13 |
| 1487763066 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 10910 N 2nd St, Machesney Park, IL 61115-1400 | 2006-08-29 |
| Find all providers in zip 61115 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962658435 | Jennifer Lynn Speer | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2008-08-15 |
| 1578541470 | Mark Vananrooy | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-01-03 |
| 1922086818 | Erik Oksnevad | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MACHESNEY PARK |
| Zip Code | 61115 |
Please comment or provide details below to improve the information on MISS EMILY CATHERINE LUTGEN.
| 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.