| Ms Sylvia Ann Garza, APN-BC | |
|
1200 State Street, Crusader Clinic, Rockford, IL 61102 | |
| (815) 490-1600 | |
| Not Available |
| Full Name | Ms Sylvia Ann Garza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1200 State Street, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588800700 | NPI | - | NPPES |
| 209007375 | Other | IL | IL LICENSE |
| 421060724003 | Medicaid | IL | |
| 1710971486 | Medicaid | IA | |
| 8122859 | Other | IL | BC/BS IL GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209007375 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209.007375 (Illinois) | Primary |
| Entity Name | Crusaders Central Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902972557 PECOS PAC ID: 5799682993 Enrollment ID: O20031216000642 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Applebaum Physiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230412000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sylvia Ann Garza, APN-BC 1200 W State St, Crusader Clinic, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Ms Sylvia Ann Garza, APN-BC 1200 State Street, Crusader Clinic, Rockford, IL 61102 Ph: (815) 490-1600 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |