DEBORAH HENSCHLER (NPI# 1376067165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376067165 |
| Entity Type | Individual |
| Full Name | DEBORAH HENSCHLER |
| Credential | APN |
| Practice Address |
10003 Us Route 30 Waterman IL 60556-7128 |
| Mailing Address |
25 N Winfield Winfield IL 60190-1295 |
| Practice Telephone | 8152643484 |
| Mailing Telephone | 8152643484 |
| Mailing Fax Number | 8152648659 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016166 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAIRE INDIVIDUAL | F400413448 | 01 |
| IL | MEDICARE GROUP | IL6309 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 E Railroad St, Sandwich, IL 605482240 | 8157867150 | 8157867153 |
| Street Address |
10003 US ROUTE 30 |
| City | WATERMAN |
| State | IL |
| Zip Code | 60556-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669687315 | Lea Quitania Lisowski | Family Medicine | 10003 Us Route 30, Waterman, IL 60556 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962730416 | Michele Wylde | Physical Therapist | 125 North Cedar Street, Waterman, IL 60556 | 2009-11-20 |
| 1740406123 | Wylde Physical Therapy, LLC | Physical Therapist | 125 N. Cedar St, Waterman, IL 60556 | 2007-04-17 |
| 1386753994 | Maria Wanda Olson | Physical Therapist | 125 N Cedar St, Waterman, IL 60556 | 2006-08-29 |
| 1902839541 | Waterman Community Fire Protection District | Ambulance | 160 North Cedar St, Waterman, IL 60556 | 2006-07-08 |
| 1356940936 | Samantha Ritter | Physical Therapist | 125 N Cedar St, Waterman, IL 60556 | 2020-10-23 |
| 1306344064 | Ashley Deyonne Corn | Physical Therapy Assistant | 125 N. Cedar St, Waterman, IL 60556 | 2018-01-29 |
| 1396232534 | Ginger D Ryan | Behavior Technician | 11092 Bastian Rd, Waterman, IL 60556-7005 | 2018-04-13 |
| 1144432733 | Marie Nmi Huff | Developmental Therapist | 8222 Chicago Rd, Waterman, IL 60556-7007 | 2007-05-04 |
| 1922545441 | Ariel Russell | Specialist/Technologist | 635 N Pine St, Waterman, IL 60556-9782 | 2017-01-22 |
| 1932599917 | Alex Holliday | Physical Therapist | 125 N. Cedar St., Waterman, IL 60556-9834 | 2015-01-29 |
| Find all providers in zip 60556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 | ||||
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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.