PAMELA ECKHARDT (NPI# 1386629467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629467 |
| Entity Type | Individual |
| Full Name | PAMELA ECKHARDT |
| Credential | FNP |
| Practice Address |
1770 N Milwaukee Ave Libertyville IL 60048-1317 |
| Mailing Address |
8711 Country Shire Ln Spring Grove IL 60081-8235 |
| Practice Telephone | 8668253227 |
| Mailing Telephone | 2242349334 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1770 N MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958052 | Rebekah Lee | Pharmacist | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2017-08-14 |
| 1255700035 | Dylan Moe | Pharmacist | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2015-09-22 |
| 1538445770 | Paresh Patel | Pharmacist | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2011-11-02 |
| 1215210893 | Candia A. Koleszar | Pharmacist | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2011-09-21 |
| 1023398658 | Kyong A Lee | Pharmacist | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2011-08-26 |
| 1457366643 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275174252 | Shila Maninji | Nurse Practitioner | 755 S Milwaukee Ave Ste 220, Libertyville, IL 60048-3270 | 2019-10-01 |
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| 1730694274 | Jessica M. Kim | Nurse Practitioner | 825 S Milwaukee Ave, Libertyville, IL 60048 | 2017-12-06 |
| 1366989501 | Christina Gierer | Nurse Practitioner | 1029 W Park Ave, Libertyville, IL 60048-2550 | 2017-01-26 |
| 1881072924 | Bonnie Kaye Mitchell | Nurse Practitioner | 150 E Cook Ave, Suite 100, Libertyville, IL 60048-2060 | 2015-05-08 |
| 1790186955 | Jennifer Jensen | Nurse Practitioner | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5358 | 2014-09-08 |
| 1821233149 | Sandi M Motisi | Nurse Practitioner | 900 Technology Way, Suite 120, Libertyville, IL 60048-5364 | 2008-12-16 |
| 1881875235 | Ellen Verlen | Nurse Practitioner | 1900 Hollister Drive, Suite 250, Libertyville, IL 60048 | 2007-11-14 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on PAMELA ECKHARDT.
| 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.