KATHERINE M JUNG (NPI# 1780197269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780197269 |
| Entity Type | Individual |
| Full Name | KATHERINE M JUNG |
| Credential | NP |
| Practice Address |
45 Tower Ct Gurnee IL 60031-3376 |
| Practice Telephone | 8476233200 |
| Mailing Telephone | 8476233200 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8000 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 TOWER CT |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760478499 | James P Monahan | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2005-09-27 |
| 1033655857 | Judith Ortmeyer | Registered Nurse | 45 Tower Ct, Gurnee, IL 60031-3376 | 2017-01-18 |
| 1124262944 | Amg Illinois Ltd | Durable Medical Equipment & Medical Supplies | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2009-04-23 |
| 1700024411 | Thomas Edward Woike | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2009-02-03 |
| 1972741759 | Amg Illinois Ltd | Family Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2009-02-02 |
| 1841247608 | Northern Lake Medical, Ltd. | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2006-05-27 |
| 1194712638 | Vivek Arora | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2005-09-30 |
| 1114913845 | Valentina Polyak | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2005-09-27 |
| 1922094655 | Ninad N Dixit | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2005-09-27 |
| 1629064357 | Charles V Holmberg | Internal Medicine | 45 Tower Ct, Suite C, Gurnee, IL 60031-3376 | 2005-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184108565 | Violetta Markaryan | Nurse Practitioner | 20 Tower Ct Ste C, Gurnee, IL 60031-5711 | 2018-09-20 |
| 1073531547 | Michelle Gaa Ortega | Nurse Practitioner | 731 S. Il Route 21, Suite 130, Gurnee, IL 60031 | 2006-07-17 |
| 1366076937 | Esra Kezban Jozwiak | Nurse Practitioner | 222 S Greenleaf St Ste 112, Gurnee, IL 60031-5705 | 2020-02-23 |
| 1780063917 | Linda Tanni | Nurse Practitioner | 350 S Greenleaf St Ste 405, Gurnee, IL 60031-5709 | 2015-05-20 |
| 1619383262 | May Arnaiz Suasin | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2014-07-03 |
| 1942445630 | Kara N Easton | Nurse Practitioner | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
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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.