ALISA RENEE PRANTNER


Address: 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010
Phone: 8004325005

ALISA RENEE PRANTNER (NPI# 1629530043) 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) 1629530043
Entity Type Individual
Full Name ALISA RENEE PRANTNER
Other Name ALISA RENEE PONTARELLI
Credential APN, PMHNP-CS
Practice Address 1650 Moon Lake Blvd
Hoffman Estates
IL 60169-1010
Mailing Address 315 N Beverly Ln
Arlington Heights
IL 60004-6242
Practice Telephone 8004325005
Mailing Telephone 8473400765
Enumeration Date 2019-04-04
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209019075 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1650 MOON LAKE BLVD
City HOFFMAN ESTATES
State IL
Zip Code 60169-1010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376578039 Kwan Bo Jin Psychiatry & Neurology 1650 Moon Lake Blvd, Att: Dr Jin, Hoffman Estates, IL 60194-1010 2006-07-11
1134754815 Sarah Louise Briley Counselor 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2020-03-03
1093352080 Jennifer Jedrzejczak Psychologist 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2019-12-09
1770141319 Alice Nicole Schruba Psychologist 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2019-05-29
1780159996 Jessica Lynn Vogt Nurse Practitioner 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2018-10-04
1003323114 Sevil Arin Counselor 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2018-01-10
1053657270 Kimberly Ann Mulvey Nurse Practitioner 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2012-12-15
1346549193 Carla Ferguson Nurse Practitioner 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2011-03-18
1417267832 Heather L Finnegan Nurse Practitioner 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2010-10-19
1407187115 Janet D Childs Registered Nurse 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 2010-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538639109 Kathryn Grace Simpson Behavioral Analyst 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 2018-11-27
1821507195 Anna Catsaros Speech-Language Pathologist 1030 W. Higgins Road, Hoffman Estates, IL 60169 2017-09-29
1831628908 Htgr, Ltd Dentist 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 2017-06-12
1023541521 Tamara M Nowak Counselor 2455 Dean St., Suite 3g, St. Charles, IL 60169 2017-04-11
1275995813 Eraj Din Pediatrics 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 2016-03-23
1871965764 Hameed U. Baig Family Medicine 1446 Della Drive, Hoffman Estates, IL 60169 2015-10-30
1316365620 Eye See Optical Inc. Clinical Medical Laboratory 1071 W. Golf Rd., Hoffman Estates, IL 60169 2014-04-03
1093132284 Elizabeth Sita Psychiatry & Neurology 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 2014-03-25
1881017895 Katie Forsythe Counselor 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 2014-01-27
1831447432 Suma Karandikar Counselor 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 2012-08-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801376744 Morgan Leigh Probst Nurse Practitioner 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 2018-08-20
1386162238 Susy Wanjiro Ojwang Nurse Practitioner 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 2017-08-30
1205207925 Huong Iodice Nurse Practitioner 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 2015-10-08
1982020087 Vincent Donlon Nurse Practitioner 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 2014-03-13
1346543832 Stacey N. Paul Nurse Practitioner 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 2010-12-06
1063420230 Karen S Dicken Nurse Practitioner 1786 Moon Lake Blvd, #104, Hoffman Estates, IL 60169-5029 2006-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790384451 Ghea Tiping Degillo Nurse Practitioner 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 2020-10-22
1750989620 Rodney J Pena Jr. Nurse Practitioner 1362 Trotters Ln, Bourbonnais, IL 60914-4519 2020-10-13
1609482231 Crystal Lynn Jordan Nurse Practitioner 638 Oakbrook Ave, Chatham, IL 62629 2020-09-18
1497369672 Mojisola Abayemi Akinfe Nurse Practitioner 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 2020-09-03
1508475039 Hilary Eichie Nurse Practitioner 20025 Division St., Crest Hill, IL 60403 2020-07-30
1518585942 Tabs Behavioral Health Inc Nurse Practitioner 13316 Vicarage Dr, Plainfield, IL 60585-5050 2020-07-13
1154946788 Latisha Trenice Stennis Nurse Practitioner 8106 Carol Dr, East Saint Louis, IL 62203-1838 2020-06-09
1114549755 Maria Andreea Bordeianu Nurse Practitioner 6050 N California Ave, Chicago, IL 60659-3916 2020-05-16
1104448968 Abosede Rachel Babalola Nurse Practitioner 2214 Monarch St, Bourbonnais, IL 60914-2780 2020-05-14
1659909406 Mudira Temilola Oyewole Nurse Practitioner 493 Leslie Ct, Des Plaines, IL 60016-8818 2020-03-28
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Competitor

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City HOFFMAN ESTATES
Zip Code 60169

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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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