MRS. SUSAN MARY BRONGIEL (NPI# 1740552686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740552686 |
Entity Type | Individual |
Full Name | MRS. SUSAN MARY BRONGIEL |
Credential | RN |
Practice Address |
1212 Larkin Ave Elgin IL 60123-6042 |
Practice Telephone | 8476082682 |
Mailing Telephone | 8476082682 |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041-176557 | IL | Nursing Service Providers |
Street Address |
1212 LARKIN AVE |
City | ELGIN |
State | IL |
Zip Code | 60123-6042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447284393 | The Larkin Center | Case Management | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2006-07-10 |
1861005407 | Mattison Elizabeth Hagen | Social Worker | 1212 Larkin Ave, Elgin, IL 60123-6082 | 2020-08-24 |
1538784293 | Association for Individual Development | Clinic/Center | 1212 Larkin Ave, 1st Floor, Elgin, IL 60123-6082 | 2020-06-09 |
1013277607 | The Larkin Center | Local Education Agency (LEA) | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2012-05-17 |
1932471463 | Nancy J Little | Counselor | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2012-01-30 |
1134490576 | Sandy L Burke | Counselor | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2012-01-17 |
1518236660 | Catherine Tiberi | Counselor | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2011-12-19 |
1427325463 | Rachel Anne Barkei | Counselor | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2011-11-18 |
1174804207 | Heather Klemm | Counselor | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2011-09-02 |
1366722035 | Kyle Stawski | Social Worker | 1212 Larkin Ave, Elgin, IL 60123-6042 | 2011-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
Find all providers in zip 60123 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881197358 | Beatrice Ann Sisson | Registered Nurse | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2018-03-12 |
1922339183 | Alpha Omega America Inc. | Registered Nurse | 75 Market St, Ste. 14, Elgin, IL 60123-5093 | 2010-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
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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.