Theresa A Larson, - Nurse Practitioner in Deerfield, IL

Theresa A Larson, is a Nurse Practitioner - Psychiatric/mental Health based in Deerfield, Illinois. Theresa A Larson is licensed to practice in Illinois (license number 209.029761) and her current practice location is 440 Lake Cook Rd Ste 2, Deerfield, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 236-9310.

NPI number for Theresa A Larson is 1942040472 and her current mailing address is 440 Lake Cook Rd Ste 2, Deerfield, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942040472.

Contact Information

Theresa A Larson,
440 Lake Cook Rd Ste 2,
Deerfield, IL 60015-5263
(847) 236-9310
(847) 236-9411

Map and Direction




Provider's Profile

Full NameTheresa A Larson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location440 Lake Cook Rd Ste 2, Deerfield, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942040472
  • Provider Enumeration Date: 05/31/2024
  • Last Update Date: 05/31/2024

Medical Identifiers

Medical identifiers for Theresa A Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942040472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.029761 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa A Larson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa A Larson,
440 Lake Cook Rd Ste 2,
Deerfield, IL 60015-5263

Ph: (847) 236-9310
Theresa A Larson,
440 Lake Cook Rd Ste 2,
Deerfield, IL 60015-5263

Ph: (847) 236-9310

Reviews and Comments


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