MR. REGINALD PATRICK WINCE SR.


Address: 5900 Bond Ave, Centreville, IL 62207-2326
Phone: 6183323060

MR. REGINALD PATRICK WINCE SR. (NPI# 1417129693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417129693
Entity Type Individual
Full Name MR. REGINALD PATRICK WINCE SR.
Credential NP-C
Practice Address 5900 Bond Ave
Centreville
IL 62207-2326
Mailing Address 32 Hi Pointe Dr
Belleville
IL 62223-7119
Practice Telephone 6183323060
Practice Fax Number 6183325297
Mailing Telephone 6183988482
Enumeration Date 2008-03-28
Last Update Date 2008-03-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209005440 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5900 BOND AVE
City CENTREVILLE
State IL
Zip Code 62207-2326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952900763 Danielle Victoria Williams Dietitian, Registered 5900 Bond Ave, Centreville, IL 62207-2326 2020-10-22
1750992459 Touchette Regional Hospital Inc Psychiatric Unit 5900 Bond Ave, Centreville, IL 62207-2326 2020-08-14
1932722295 Alecia E Marks Social Worker 5900 Bond Ave, Centreville, IL 62207-2326 2020-05-21
1194345322 Lisa Bicket Social Worker 5900 Bond Ave, Centreville, IL 62207-2326 2020-04-17
1578034609 Jennifer Wuerffel Dietitian, Registered 5900 Bond Ave, Centreville, IL 62207-2326 2018-12-16
1467922708 Laura Anne Lengyel Counselor 5900 Bond Ave, Centreville, IL 62207-2326 2018-11-29
1053853143 Touchette Regional Hospital - Transportation Non-emergency Medical Transport (VAN) 5900 Bond Ave, Centreville, IL 62207-2326 2016-11-07
1629498266 Jami Szwargulski Dietitian, Registered 5900 Bond Ave, Centreville, IL 62207-2326 2014-04-22
1538449509 Southern Illinois Healthcare Foundation, Inc Family Medicine 5900 Bond Ave, Centreville, IL 62207-2326 2011-08-23
1013208958 Moungar Elton Cooper Surgery 5900 Bond Ave, Centreville, IL 62207-2326 2011-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114493723 Monica Marie Magowan Nurse Practitioner Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 2018-10-22
1063708345 Porshia Lenee' Egerson Student in an Organized Health Care Education/Training Program 6032 Clarita Ave, Centreville, IL 62207-1019 2011-06-24
1679742506 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 1501 S G St, East Saint Louis, IL 62207-2057 2008-02-25
1780853614 Comprehensive Mental Health Center of St. Clair County, Inc. Clinic/Center 1500 Wilford Ave, East Saint Louis, IL 62207-2066 2008-02-25
1891395893 Cheryl Lynn Eubanks Technician 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 2020-10-28
1871086082 Medicate Pharmacy Inc Pharmacy 5869 Bond Ave, Centreville, IL 62207-2300 2018-06-12
1518079243 Heather L Lucas-foster Family Medicine 6010 Bond Ave, Centreville, IL 62207-2328 2006-08-31
1386633295 Heather Surratt Dentist 6000 Bond Ave, Sihf - Mcc, Centreville, IL 62207-2328 2005-10-14
1730574617 Lara E. Stein Obstetrics & Gynecology 6000 Bond Ave, Centreville, IL 62207-2328 2015-03-30
1134546690 Bhawna Sharma Psychiatry & Neurology 6000 Bond Ave, Centreville, IL 62207-2328 2014-03-23
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1467908533 Monica Phillips Nurse Practitioner 1281 Abercrombie Rd, Centreville, AL 35042-5104 2016-08-29
1992197800 Lisa Lister Adkins Nurse Practitioner 255 Comet Dr, Centreville, MD 21617-2647 2015-03-02
1063675205 Pauline Abate Nurse Practitioner 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 2008-07-08
1679755425 Louise A Leblanc Nurse Practitioner 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 2007-12-04

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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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Competitor

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City CENTREVILLE
Zip Code 62207

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Dataset Information

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.

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