Patrice Ann Piechur, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041-183331 Issued in IL

Practice address

404 Madison Ave.
Ingleside, IL 60041

Phone

(847) 587-8521

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Patrice Ann Sakalis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1699216507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26118 W GRAND AVE",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "600418404",
            "telephone_number": "847-409-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MADISON AVE.",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "60041",
            "telephone_number": "847-587-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECHUR",
        "first_name": "PATRICE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-183331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "SAKALIS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Muligano, DC
• Diego Munoz, ED.S
• Jennifer Ann O'Grady, M.S. CCC-SLP/L
• Oleh Paly, M.D.
• Marcy Patterson, LCSW
• Annie Rose Pitts
• Maria Teresa Queypo
• Nader Sallam, MD
• Margueret Anne Spear
• Nicole Storz, MSW

• Registered Nurse in Ingleside, IL
• Providers in Ingleside, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.