MRS. JUCY TIESENGA NP
NPI 1124395199
Nurse Practitioner in Winfield, IL

Q: What is Jucy Tiesenga's NPI number?

The NPI number for Jucy Tiesenga is 1124395199. It was assigned to this individual provider in the NPPES registry on November 18, 2011.

Q: What is Jucy Tiesenga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jucy Tiesenga was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2011

25 N WINFIELD RD STE 420, WINFIELD, IL 60190(630) 682-8700(630) 352-5582 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Mar 4, 2020 (2 updates tracked since 2020).

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About Mrs. Jucy Tiesenga Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JUCY TIESENGA NP (NPI 1124395199) is an individual nurse practitioner in Winfield, Illinois, licensed in Illinois (209009046) and active in the NPI registry since November 2011. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124395199

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JUCY TIESENGACredential: NP

Location Address25 N WINFIELD RD STE 420Winfield, IL 60190-1222

Mailing Address1880 W Winchester Rd Ste 201Libertyville, IL 60048-5336 · (847) 247-0187

Phone(630) 682-8700

Fax(630) 352-5582

Sole ProprietorYes

Enumeration DateNovember 18, 2011

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1124395199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209009046

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209009046 (IL)

25 N WINFIELD RD STE 420, Winfield, IL 60190

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Secondary Practice Locations 2

Location 19669 Kenton Ave, Suite 204Skokie, IL 60076-1266 · Phone (847) 657-1900

Location 21880 W Winchester Rd Ste 201Libertyville, IL 60048-5336 · Phone (847) 247-0187

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIDIA SPAHO M.D.

Internal Medicine (Gastroenterology)