ELIZABETH G BAZZETTA (NPI# 1851726004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851726004 |
| Entity Type | Individual |
| Full Name | ELIZABETH G BAZZETTA |
| Credential | PA-C |
| Practice Address |
259 E Erie St Fl 13 Chicago IL 60611-3926 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 3126956800 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085004793 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
259 E ERIE ST FL 13 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183363 | Michael D Stover | Orthopaedic Surgery | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2006-02-14 |
| 1427682582 | Colleen Elizabeth Beckler | Registered Nurse | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2020-02-27 |
| 1902456155 | Mary Katherine Eileen Whelan | Physician Assistant | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2019-09-18 |
| 1346718491 | Alexa Gabrielle Smith | Physician Assistant | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2018-11-07 |
| 1326531732 | Carolyn Margaret Moran | Nurse Practitioner | 259 E Erie St Fl 13, Chicago, IL 60611 | 2018-06-11 |
| 1013446731 | Katherine S Mccrossen | Physician Assistant | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2017-06-06 |
| 1316311269 | Melissa Longman | Physician Assistant | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2015-11-16 |
| 1538560313 | Brett Painter | Physical Therapist | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2014-09-11 |
| 1518368455 | Eleni Z Poulakis | Physical Therapist | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2014-09-10 |
| 1548687635 | Bennet Arthur Butler | Orthopaedic Surgery | 259 E Erie St Fl 13, Chicago, IL 60611-3926 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1811494917 | Nicole Fisch | Physician Assistant | 7447 W Talcott Ave Ste 512, Chicago, IL 60631-3716 | 2018-04-06 |
| 1477909448 | Temidayo Olugbenga Odugbesan | Physician Assistant | 7016 S Sangamon St, Apt 3s, Chicago, IL 60621-1759 | 2016-05-10 |
| 1689096257 | Natalie Elizabeth Warmuth | Physician Assistant | 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711 | 2014-01-15 |
| 1184062754 | Lindsay Christine Jones | Physician Assistant | 205 East Huron, Northwestern Memorial Hospital Galter 11-140, Chicago, IL 60611 | 2013-06-05 |
| 1366741449 | Monica L Fiehler | Physician Assistant | 3537 Paysphere Cir, Chicago, IL 60674-0001 | 2011-03-15 |
| Find all providers in CHICAGO | ||||
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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.