MRS. MARYKAY PETGES (NPI# 1295938645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295938645 |
| Entity Type | Individual |
| Full Name | MRS. MARYKAY PETGES |
| Credential | RN |
| Practice Address |
101 Birch Dr Sw Poplar Grove IL 61065-8962 |
| Practice Telephone | 8157651418 |
| Practice Fax Number | 8157650971 |
| Mailing Telephone | 8157651418 |
| Mailing Fax Number | 8157650971 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
IL | Nursing Service Providers |
| Street Address |
101 BIRCH DR SW |
| City | POPLAR GROVE |
| State | IL |
| Zip Code | 61065-8962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992352819 | Amber Suarez-christensen | Occupational Therapist | 4950 Il-173, Poplar Grove, IL 61065 | 2019-08-26 |
| 1588227300 | Kimberly Jozwiak | Counselor | 4950 Rte. 173, Poplar Grove, IL 61065 | 2019-04-17 |
| 1902252075 | Pioneer Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 310 Constitution Drive Sowth West, Poplar Grove, IL 61065 | 2016-05-09 |
| 1568738821 | Ashley Lynn Moritz | Speech-Language Pathologist | 4950 Route 173, Poplar Grove, IL 61065 | 2012-03-30 |
| 1326202441 | Felker Pharmacy Inc | Pharmacy | 13521 Illinois Rt 76, Poplar Grove, IL 61065 | 2008-07-17 |
| 1295744183 | William M Bitsas | Family Medicine | 406 Maple Leaf Ln, Poplar Grove, IL 61065 | 2006-08-07 |
| 1790718104 | Troy Michael Doetch | Family Medicine | 1200 Candlewick Dr Nw, Poplar Grove, IL 61065 | 2006-07-09 |
| 1548667371 | Gemma Fletcher | Physical Therapist | 4950 Route 173, Poplar Grove, IL 61065 | 2014-11-21 |
| 1700207768 | Kathy Blackmer | Counselor | 13508 Julie Dr, Poplar Grove, IL 61065 | 2013-12-18 |
| 1598883670 | Jeffry Stephen Clow | Speech-Language Pathologist | 492 Prairie Knoll Dr, Poplar Grove, IL 61065-7817 | 2007-03-27 |
| Find all providers in zip 61065 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833047 | Jennifer Fay Herbert | Registered Nurse | 4011 N Francisco Ave Unit 111, Chicago, IL 60618-2655 | 2020-08-28 |
| 1225653082 | Kailin Haugh | Registered Nurse | 194 Ivy Ln, Bloomingdale, IL 60108-1726 | 2020-06-08 |
| 1841819828 | Alison Chesniak Thompson | Registered Nurse | 1857 W Diversey Pkwy Apt 301, Chicago, IL 60614-9236 | 2020-04-10 |
| 1962038935 | Wendy Lankenau | Registered Nurse | 225 E Chicago Ave Unit A, Chicago, IL 60611-2991 | 2020-03-21 |
| 1720594013 | Viktoria Mileva | Registered Nurse | 236 Tallman Ave, Romeoville, IL 60446-1746 | 2017-12-21 |
| 1205268612 | Precious Watson | Registered Nurse | 1217 E 95th St, Chicago, IL 60619-8019 | 2013-08-08 |
| 1679721633 | Cynthia L. Booth | Registered Nurse | 1801 W Taylor St # 2e, Children and Adolescent Center, Chicago, IL 60612-4319 | 2008-09-03 |
| 1942458260 | Sarah E Kelso | Registered Nurse | 4611 Golf Rd, Suite 200, Skokie, IL 60076-1209 | 2008-08-28 |
| 1841410289 | Maureen Adele Macmillan-brown | Registered Nurse | 7028 N Ozark Ave, Chicago, IL 60631-1064 | 2007-04-26 |
| 1306974159 | Almost Home Kids | Registered Nurse | 7 S 721 Route 53, Naperville, IL 60540 | 2007-03-02 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR GROVE |
| Zip Code | 61065 |
Please comment or provide details below to improve the information on MRS. MARYKAY PETGES.
| 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.