Teri Dougherty in Chicago - Nurse Practitioner
Teri Dougherty - NPI 1053403683
Teri Dougherty is a Nurse Practitioner in Chicago, Illinois. Teri Dougherty practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Teri Dougherty is 1053403683. The last update date is 2011-04-14.
Teri Dougherty's current location address is 1725 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3129425904. The mailing address for Teri Dougherty is 1725 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teri Dougherty |
|---|---|
| Address | 1725 W Harrison St, Chicago, Illinois |
| Phone Number | 3129425904 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1053403683 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2011-04-14 |
Provider Mailing Address Detail
| Address | 1725 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123841 |
| Phone Number | 3129425904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-000478 |
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Definition: (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 certifi |
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What is the unique identification code assigned to Teri Dougherty by the Centers for Medicare & Medicaid Services?
The Teri Dougherty has been issued the NPI (National Provider Identifier) 1053403683. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Teri Dougherty's physical address?
The Teri Dougherty is physically located at 1725 W Harrison St, in the city of Chicago, IL, with the postal code 606123841.
What is Teri Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Teri Dougherty is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
When did Teri Dougherty receive its 1053403683 assignment?
The Teri Dougherty was assigned its 1053403683 on 2006-09-29, which is the date when this unique identifier was issued to the organization.
When was the Teri Dougherty's information last updated?
The Teri Dougherty's information was last updated on 2011-04-14.