MRS. JILL POKORNY (NPI# 1407069404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407069404 |
| Entity Type | Individual |
| Full Name | MRS. JILL POKORNY |
| Credential | APRN, BC |
| Practice Address |
720 Florsheim Dr Libertyville IL 60048-3757 |
| Mailing Address |
488 W Butterfield Ln Round Lake IL 60073-5692 |
| Practice Telephone | 8472474000 |
| Practice Fax Number | 8472342090 |
| Mailing Telephone | 8472017445 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
720 FLORSHEIM DR |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278191 | Paul Michael Ziemba | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2005-10-10 |
| 1861036519 | Catherine Dinklenburg | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-11-05 |
| 1760043178 | Alyssa Ribaudo | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-06-26 |
| 1326503822 | Sydney Alexa Mella | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-02-08 |
| 1801379383 | Sophia O' Bryan | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2018-09-11 |
| 1972016418 | Matthew Deisinger | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2017-11-07 |
| 1205387552 | Laura Friedrich | Nurse Practitioner | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2016-10-21 |
| 1215321880 | Susan Bolotin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2015-03-23 |
| 1578969929 | Ryan Anderson | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-11-12 |
| 1881008001 | Brittany Herin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-06-16 |
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| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942366588 | Mary Irene Stowell | Nurse Practitioner | 14044 W Petronella Dr Ste 3, Libertyville, IL 60048-9656 | 2006-12-28 |
| 1093229858 | Klara Major | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-11-30 |
| 1477793594 | Kimberly Lynn Lynch | Nurse Practitioner | 1850 W Winchester Rd, Suite 220, Libertyville, IL 60048-5357 | 2009-03-02 |
| 1053363705 | Jennifer Giarratana | Nurse Practitioner | 1800 Hollister Dr, Suite 112, Libertyville, IL 60048-5263 | 2006-05-17 |
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|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
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| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.