Gurtler, Jody K
Gurtler, Jody K is an individual health care provider with primary practice located at 1701 W. Curtis Road Pediatrics, Champaign IL 61822. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gurtler, Jody K can be contacted via phone (217) 365-6202.Contact Information
Primary practice address
1701 W. Curtis Road Pediatrics
Champaign IL 61822
Phone: (217) 365-6202
Fax: (217) 326-1234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 209004436 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209004436 | Illinois |
Profile Details
| NPI number | 1518158914 |
|---|---|
| LBN Legal business name | Gurtler, Jody K |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Jun 11th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518158914 | NPPES |
| Illinois | MEDICAID | 041206785 | |
| Illinois | Other | IL2613 |
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