SUSAN C WINTERBAUER (NPI# 1073816013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073816013 |
Entity Type | Individual |
Full Name | SUSAN C WINTERBAUER |
Credential | APN |
Practice Address |
9951 Rock Cut Crossing Osf Medical Group-rock Cut Loves Park IL 61111 |
Mailing Address |
301 E State St Rockford IL 61104-1012 |
Practice Telephone | 8156398450 |
Practice Fax Number | 8156398451 |
Mailing Telephone | 8156398450 |
Mailing Fax Number | 8156398451 |
Enumeration Date | 2010-12-14 |
Last Update Date | 2019-06-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209008394 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9951 ROCK CUT CROSSING OSF MEDICAL GROUP-ROCK CUT |
City | LOVES PARK |
State | IL |
Zip Code | 61111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
1265688766 | Saint Anthony Medical Center | Internal Medicine | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2008-08-15 |
1730335266 | Saint Anthony Medical Center | Internal Medicine | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2008-08-15 |
1952573222 | Saint Anthony Medical Center | Internal Medicine | 9951 Rock Cut Crossing, Loves Park, IL 61111-3609 | 2008-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
1003476425 | Costco Wholesale Corporation | Pharmacy | 5000 Stadium Drive, Loves Park, IL 61111 | 2019-06-18 |
1427541077 | Ronit Golan | Physical Therapist | 4401 Peak Dr Ste 1, Loves Park, IL 61111 | 2018-06-08 |
1598049025 | Sara Debelak | Developmental Therapist | 7225 Golden Eagle Drive, Loves Park, IL 61111 | 2011-10-03 |
1083906382 | Gagandeep Goyal | Anesthesiology | 5504 N 2nd St, Loves Park, IL 61111 | 2011-05-05 |
1124354261 | Asap Transport, LLC | Taxi | 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 | 2009-10-25 |
1235212275 | Roger H Hill | Optometrist | 4301 N Mulford Rd, Loves Park, IL 61111 | 2006-10-23 |
1629099627 | Lisa A. Breisch | Counselor | Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 | 2006-07-22 |
1386670529 | Joseph L Digirolamo | Chiropractor | 116 East Riverside Blvd, Loves Park, IL 61111 | 2006-06-22 |
1720045859 | Metro Medical Services Inc | Ambulance | 5112 Forest Hills Ct, Loves Park, IL 61111 | 2006-05-01 |
Find all providers in zip 61111 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568452555 | Cynthia A Mcgrath | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2005-10-21 |
1437465986 | Paula Bauman | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2010-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
Find all providers with the same taxonomy |
City | LOVES PARK |
Zip Code | 61111 |
Please comment or provide details below to improve the information on SUSAN C WINTERBAUER.
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.