INTRANERVE LLC (NPI# 1942569843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942569843 |
| Entity Type | Organization |
| Organization Name | INTRANERVE LLC |
| Practice Address |
2210 Abbeywood Dr Ste A Lisle IL 60532-3384 |
| Practice Telephone | 3313303336 |
| Mailing Telephone | 3313303336 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | MICHAEL L. KOSTREVA (DIR. OF OPERATONS MIDWEST.) |
| Authorized Official Telephone | 3313303336 |
| Authorized Official Credential | BS CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
246ZE0600X | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669630208 | Intranerve LLC | Technician, Other | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903-1530 | 2008-05-30 |
| Street Address |
2210 ABBEYWOOD DR STE A |
| City | LISLE |
| State | IL |
| Zip Code | 60532-3384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761525 | Rick D Hitchens | Specialist/Technologist, Other | 676 Framingham Ct, Gurnee, IL 60031-3496 | 2020-08-19 |
| 1740824986 | Samuel Montes | Specialist/Technologist, Other | 4014 N Spaulding Ave Apt G, Chicago, IL 60618-3328 | 2019-10-31 |
| 1588225635 | Ramon Edgargo Nunez | Specialist/Technologist, Other | 205 Lake St, Libertyville, IL 60048-1850 | 2019-06-27 |
| 1477069946 | Melissa Costello-mckee | Specialist/Technologist, Other | 6003 Jackpine Rd, Bloomington, IL 61705-7502 | 2017-12-20 |
| 1720500580 | Uche Michael Esedebe | Specialist/Technologist, Other | 5013 Florence Ave Apt 3, Downers Grove, IL 60515-3973 | 2017-07-13 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1629468541 | Definitive Neurodiagnostics, LLC Professional Services | Specialist/Technologist, Other | 1604 Visa Dr # 1, Normal, IL 61761-2195 | 2015-01-30 |
| 1922308220 | Sandie Dragos | Specialist/Technologist, Other | 3905 Crosby St, Rockford, IL 61107-4865 | 2010-11-02 |
| 1265732036 | Rockford Neuromonitoring Group LLC | Specialist/Technologist, Other | 1036 Lundvall Ave, Rockford, IL 61107-3338 | 2010-10-27 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 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.