Dr Catherine Elizabeth Theorell, PHD | |
611 W Park St, Urbana, IL 61801-2500 | |
(217) 383-3266 | |
(217) 383-3463 |
Full Name | Dr Catherine Elizabeth Theorell |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 611 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104082890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 209.004131041.16740 (Illinois) | Primary |
Entity Name | Bonaventure Medical Foundation Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871560961 PECOS PAC ID: 5496744005 Enrollment ID: O20040510000386 |
Mailing Address | Practice Location Address |
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Dr Catherine Elizabeth Theorell, PHD Po Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8630 | Dr Catherine Elizabeth Theorell, PHD 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-3266 |
Lindy Drollinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N. Lincoln Ave., Neurosurgery, Urbana, IL 61801 Phone: 217-383-3507 Fax: 217-383-3171 | |
Emily Remington, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 | |
Kendall E Wallace, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Jiaqiu Sinha, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 W University Ave, Urbana, IL 61801 Phone: 217-383-6645 | |
Mrs. Doris M Lawyer, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-333-2711 | |
Peter Kale, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Adult Medicine/geriatrics, Urbana, IL 61802 Phone: 217-255-9672 Fax: 217-383-4681 | |
Kelly Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Urbana, IL 61802 Phone: 217-255-9670 Fax: 217-255-9724 |