ANDREA IRENE RUTHERFORD


Address: 374 Larry Power Rd, Bourbonnais, IL 60914-5187
Phone: 8159332227

ANDREA IRENE RUTHERFORD (NPI# 1720056229) 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) 1720056229
Entity Type Individual
Full Name ANDREA IRENE RUTHERFORD
Other Name ANDREA IRENE BREZILL
Credential PA
Practice Address 374 Larry Power Rd
Bourbonnais
IL 60914-5187
Practice Telephone 8159332227
Practice Fax Number 8159335278
Mailing Telephone 8159332227
Mailing Fax Number 8159335278
Enumeration Date 2006-03-09
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
96001592 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
085003364 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers ANDREA RUTHERFORD

NPI Name Taxonomy Address Enumeration
1588892657 Andrea Moreno Rutherford Interpreter 100 Shattuck Way, Suite 205, Newington, NH 03801-8004 2009-06-29

Office Location

Street Address 374 LARRY POWER RD
City BOURBONNAIS
State IL
Zip Code 60914-5187

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861622441 Peter Angelo Keorpes Physician Assistant 374 Larry Power Rd, Bourbonnais, IL 60914-5187 2009-07-17
1023264967 Pinski Dermatology & Cosmetic Surgery Sc Dermatology 374 Larry Power Rd, Bourbonnais, IL 60914-5187 2008-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648023 Jacob Daniel Ledesma Physical Therapist 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 2020-10-30
1467069823 Alicia Nicole Kendra Nurse Practitioner Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 2020-09-29
1043860877 Victor Manuel Vazquez Cervantes Pharmacist 2080 No, Il-50, Bourbonnais, IL 60914 2019-09-13
1740843267 Panoptic Physical Therapy LLC Physical Medicine & Rehabilitation 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 2019-04-19
1770074577 Colin P Koerner Physical Therapist 215 N Convent St Ste 6, Bourbonnais, IL 60914 2018-05-29
1306337340 Megan Hoskins Behavior Technician 3187 N 2420 W Rd., Bourbonnais, IL 60914 2018-05-25
1932600459 Thomas H George Dds PC Clinic/Center 14 Briarcliff Professional Center, Bourbonnais, IL 60914 2018-02-21
1780193904 Kathleen M Saindon II Speech-Language Pathologist 1021 Deer Trail, Bourbonnais, IL 60914 2017-09-20
1457870206 Janet Mary Notton Speech-Language Pathologist 920 W Margaret Lane, Bourbonnais, IL 60914 2017-09-13
1134646375 Sagar Batish Student in an Organized Health Care Education/Training Program 1096 Country Lane, Bourbonnais, IL 60914 2017-08-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861622441 Peter Angelo Keorpes Physician Assistant 374 Larry Power Rd, Bourbonnais, IL 60914-5187 2009-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831707298 Eliza Ballen Physician Assistant 335 Sylvan Rd, Lake Bluff, IL 60044-2562 2020-07-21
1477177947 Rybecca Janovyak Physician Assistant 14432 High Rd, Lockport, IL 60441-9402 2020-06-01
1518591759 Julie Jenkot Physician Assistant 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 2020-02-26
1801429873 Hinjal D Jha Physician Assistant 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 2020-02-19
1770120222 Alvina Shaikh Physician Assistant 4009 Warren Ave, Bellwood, IL 60104-2066 2019-12-03
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1538705272 Bethany Mae Frisby Physician Assistant 8630 W Golf Rd, Niles, IL 60714-5600 2019-11-18
1134761984 Ella-marie Rakowski Physician Assistant 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 2019-10-14
1467001859 Timothy Omotayo Adesanya Physician Assistant Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 2019-09-09
1518514066 Victoria Moore Physician Assistant 979 W Main St, West Dundee, IL 60118-2088 2019-08-20
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Competitor

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City BOURBONNAIS
Zip Code 60914

Improve Information

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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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