CARDINALIGHT HEALTH, LLC (NPI# 1760956726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760956726 |
| Entity Type | Organization |
| Organization Name | CARDINALIGHT HEALTH, LLC |
| Practice Address |
380 N Terra Cotta Rd Ste E Crystal Lake IL 60012-1809 |
| Mailing Address |
70 Esther St Crystal Lake IL 60014-6140 |
| Practice Telephone | 8154597127 |
| Practice Fax Number | 9494046466 |
| Mailing Telephone | 8154597127 |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2020-08-09 |
| Authorized Official Name | SHARON LARSEN (OWNER, NURSE PRACTITIONER) |
| Authorized Official Telephone | 8154597127 |
| Authorized Official Credential | DNP, APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2350 Royal Blvd Ste 100, Elgin, IL 601234718 | 8476958100 | 8477174265 |
| Street Address |
380 N TERRA COTTA RD STE E |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861785032 | Sharon E. Larsen | Nurse Practitioner | 380 N Terra Cotta Rd Ste E, Crystal Lake, IL 60012-1809 | 2011-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861785032 | Sharon E. Larsen | Nurse Practitioner | 380 N Terra Cotta Rd Ste E, Crystal Lake, IL 60012-1809 | 2011-05-22 |
| 1467640193 | Kathleen Mccleskey-grimes | Nurse Practitioner | 1305 Randall Rd, Crystal Lake, IL 60014-8601 | 2007-10-09 |
| 1801351648 | Jennifer A Garrels | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2019-02-06 |
| 1780157602 | Well-rooted Pediatrics LLC | Nurse Practitioner | 820 E Terra Cotta Ave Ste 132, Crystal Lake, IL 60014-3655 | 2019-01-03 |
| 1861987604 | Lisa M Trautman | Nurse Practitioner | 5911 Northwest Hwy Ste 207, Crystal Lake, IL 60014-8043 | 2018-06-25 |
| 1538600820 | Catherine Arend | Nurse Practitioner | 741 S Mchenry Ave, Suite G, Crystal Lake, IL 60014-7445 | 2017-03-20 |
| 1265972418 | Lauren K Mielke | Nurse Practitioner | 781 S Mchenry Ave, Crystal Lake, IL 60014-7444 | 2017-03-06 |
| 1639526015 | Rachelle Puno | Nurse Practitioner | 1305 Randall Rd, Crystal Lake, IL 60014 | 2016-05-16 |
| 1386099208 | Roseann C Iverson | Nurse Practitioner | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1725 | 2016-04-28 |
| 1023424389 | Kristine M Redmond | Nurse Practitioner | 442 N Il Route 31, Crystal Lake, IL 60012-3709 | 2014-07-08 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
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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.