DR. KRISTIN A WURZBURGER (NPI# 1902892805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902892805 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN A WURZBURGER |
| Credential | MD |
| Practice Address |
1007 Nw 3rd Street Aledo IL 61231 |
| Practice Telephone | 3095823789 |
| Practice Fax Number | 3095823735 |
| Mailing Telephone | 3095823789 |
| Mailing Fax Number | 3095823735 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036092344 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 0006632002 | 01 |
| IL | 371352599001 | 05 |
| Street Address |
1007 NW 3RD STREET |
| City | ALEDO |
| State | IL |
| Zip Code | 61231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1952523565 | Mohamed I Rajput | Surgery | 309 Nw 2nd St, Aledo, IL 61231 | 2007-05-03 |
| 1750432324 | Gary Stanford Olson | Dentist | 403 Nw 4th St, Aledo, IL 61231 | 2007-01-12 |
| 1912091745 | Mercer Cty Hospital | Pharmacy | 409 N.w. 9th Ave, Outpatient Pharmacy, Aledo, IL 61231 | 2006-10-03 |
| 1811080492 | Glenda E Foy | Chiropractor | 301 Se Third Street, Aledo, IL 61231 | 2006-10-02 |
| 1205924024 | Mercer County Hospital Pharmacy | Pharmacy | 409 N.w. 9th Ave, Pharmacy, Aledo, IL 61231 | 2006-10-10 |
| 1144216185 | Julio A Santiago | Family Medicine | 1007 Nw 3rd St, Aledo, IL 61231 | 2005-09-26 |
| 1205829827 | County of Mercer | Public Health or Welfare | 305 Nw 7th St, Aledo, IL 61231-1072 | 2005-08-30 |
| 1942354915 | Mercer Health Center, S.c. | Family Medicine | 409 Nw 4th St, Aledo, IL 61231-1209 | 2007-01-23 |
| 1124479266 | Thais Meredith | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2016-06-30 |
| Find all providers in zip 61231 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609245083 | Kris Daniel Porter, Md, Pa | Internal Medicine | 94 Bluff Vw, Aledo, TX 76008-4580 | 2015-09-16 |
| 1417255613 | Iram Qureshi | Internal Medicine | 6900 E I 20, Aledo, TX 76008-3105 | 2011-03-11 |
| 1881859056 | Matthew Abraham Phares | Internal Medicine | 176 Deer Creek Dr, Aledo, TX 76008-3900 | 2008-07-27 |
| 1083633226 | Joseph Zadeh Do | Internal Medicine | 1411 Mcdavid Dr, Aledo, TX 76008-2845 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.