KATHRYN VITALE (NPI# 1154891083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154891083 |
| Entity Type | Individual |
| Full Name | KATHRYN VITALE |
| Credential | MSN, APN, AGCNS-BC |
| Practice Address |
800 N Westmoreland Rd Lake Forest IL 60045-1673 |
| Mailing Address |
881 Belmar Ln Buffalo Grove IL 60089-1311 |
| Practice Telephone | 8472345600 |
| Mailing Telephone | 8479224935 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 209.018304 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628859 | John William Benge | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2005-09-09 |
| 1295100485 | Parkside Psychological Services, LLC | Psychologist | 800 N Westmoreland Rd, Suite 202, Lake Forest, IL 60045-1673 | 2015-12-14 |
| 1407296171 | Jennifer E Bernstein | Podiatrist | 800 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1673 | 2013-06-26 |
| 1376891549 | Kristen Coleman | Nurse Practitioner | 800 N Westmoreland Rd, Lake Forest, IL 60045-1673 | 2012-08-20 |
| 1265746705 | Brooke Ann Folkrod | Speech-Language Pathologist | 800 N Westmoreland Rd, 201, Lake Forest, IL 60045-1673 | 2010-07-26 |
| 1528290277 | Tomi L Ashaye | Psychiatry & Neurology | 800 N Westmoreland Rd, Suite102, Lake Forest, IL 60045-1673 | 2009-08-13 |
| 1629211651 | Heather A. Downes, M.d., P.C., L.L.C. | Dermatology | 800 N Westmoreland Rd, Suite 100-b, Lake Forest, IL 60045-1673 | 2009-04-06 |
| 1720244304 | Patrick Alexander Sugrue | Neurological Surgery | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2008-08-01 |
| 1912040429 | Anat Lansky | Internal Medicine | 800 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1673 | 2007-02-14 |
| 1235271941 | Mariellen Patricia Antman | Registered Nurse | 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045-1673 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477985463 | Christine Marie Somberg | Clinical Nurse Specialist | 660 N. Westmoreland Road, Northwestern Lake Forest Hospital, Lake Forest, IL 60045 | 2013-08-01 |
| 1841639911 | Laura Ann Meller | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2013-06-21 |
| 1871932228 | Colleen Marie Smyrniotis | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2013-06-19 |
| 1821021841 | Jennifer Tepper | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
| 1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1013398718 | Associated Physicians Group Ltd | Clinical Nurse Specialist | 4414 W Center Dr, Alton, IL 62002-5932 | 2015-06-18 |
| 1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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| 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.