ELIZABETH HULTMAN (NPI# 1528507548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528507548 |
Entity Type | Individual |
Full Name | ELIZABETH HULTMAN |
Practice Address |
4711 Golf Rd Skokie IL 60076-1224 |
Practice Telephone | 8472356033 |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
W114232 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4711 GOLF RD |
City | SKOKIE |
State | IL |
Zip Code | 60076-1224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497752893 | Alice Chen | Legal Medicine | 4711 Golf Rd, Suite 808, Skokie, IL 60076-1224 | 2005-06-30 |
1811418015 | Pr Orthotics & Ot LLC | Durable Medical Equipment & Medical Supplies | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-06-28 |
1609314616 | Mary Lally | Behavioral Analyst | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
1821536822 | Steinberg Behavior Solutions | Community/Behavioral Health | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
1205372067 | Olasunkanmi Ogedegbe | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2017-01-17 |
1952858409 | Marissa Bennett | Behavioral Analyst | 4711 Golf Rd, 100, Skokie, IL 60076-1224 | 2016-09-01 |
1326495243 | Michelle Fisher | Social Worker | 4711 Golf Rd, Suite 400, Skokie, IL 60076-1224 | 2016-05-20 |
1336503119 | Rebecca Arends | Counselor | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-07 |
1992169015 | Jarret Helstern | Nurse Practitioner | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-06 |
1255793162 | Julie Pak | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2016-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
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Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003340449 | Rachel Arpilleda Mordeno | Nurse Practitioner | 8338 Central Park Ave, Skokie, IL 60076-2813 | 2017-04-12 |
1134438740 | Sandra Jane Kamp | Nurse Practitioner | 9977 Woods Dr, Floor 1, Skokie, IL 60077-1057 | 2010-09-29 |
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1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
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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.