MRS. MARY THERESE PETRELLA (NPI# 1922016849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922016849 |
| Entity Type | Individual |
| Full Name | MRS. MARY THERESE PETRELLA |
| Other Name | MARY THERESE LAURIC |
| Credential | ND MS RN FNP BC |
| Practice Address |
2970 Chartres Hygienic Institute Community Health Clinic La Salle IL 61301 |
| Mailing Address |
24007 Majestic Drive Minooka IL 60447 |
| Practice Telephone | 8152230196 |
| Practice Fax Number | 8152230358 |
| Mailing Telephone | 8154672871 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2970 CHARTRES HYGIENIC INSTITUTE COMMUNITY HEALTH CLINIC |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| 1659538270 | Edward J Fesco Md Sc | Surgery | 206 Marquette St, Room 206, Lasalle, IL 61301 | 2008-05-21 |
| Find all providers in zip 61301 | ||||
| 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 |
|---|---|---|---|---|
| 1821078395 | Maryfrances Crist | Nurse Practitioner | 2970 Chartres St, La Salle, IL 61301-1097 | 2006-01-19 |
| 1659639862 | Collette Ann Klein | Nurse Practitioner | 2960 Chartres St, La Salle, IL 61301-1097 | 2012-04-25 |
| 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 |
| 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.