Patricia Haberkorn, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041217555 Issued in IL

Practice address

210 E Torrance Ave
Pontiac, IL 61764-2746

Phone

(815) 842-1122

Fax

(815) 842-2728

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1831341684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E TORRANCE AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E TORRANCE AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642746",
            "telephone_number": "815-842-1122",
            "fax_number": "815-842-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERKORN",
        "first_name": "PATRICIA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041217555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Mary Grampp, CDS
• Alexa Noelle Grant
• Gregorio Manabat, MD Marissa Batayola, MD SC
• Jakob Grieff
• Tiffany Haan, M.S.
• Carrie Hamilton, LCSW
• William Earl Hammond, D.C.
• Danielle Harcourt
• Allison Hart, MA
• Justin Ray Hayes, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.