Active NPI
Telecare Medicine, LLC
- Nurse Practitioner
- Frankfort, IL
National Provider Identifier
1699362806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- TELECARE MEDICINE, LLC
- Practice address
- 652 Pheasant TRL
Frankfort, IL 60423-9540 - Phone
- (815) 954-8331
- Fax
- (815) 469-1311
- NPI assigned
- Dec 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Bockwoldt, NP
- Title
- Family Nurse Practitioner
- Phone
- (815) 954-8331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
652 Pheasant TRL
Frankfort, IL 60423-9540
Mailing address
652 Pheasant TRL
Frankfort, IL 60423-9540
Phone (815) 954-8331
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Joliet, IL
- NPI 1376505479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1699362806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 PHEASANT TRL",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604239540",
"telephone_number": "815-954-8331",
"fax_number": "815-469-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 PHEASANT TRL",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604239540",
"telephone_number": "815-954-8331",
"fax_number": "815-469-1311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELECARE MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-22",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "BOCKWOLDT",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "815-954-8331",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.