Provider Demographics
NPI:1154789964
Name:SAXSMA, MARIA ARLENE J (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA ARLENE
Middle Name:J
Last Name:SAXSMA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ARLENE
Other - Last Name:JAKOSALEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1990 LARKIN AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5827
Mailing Address - Country:US
Mailing Address - Phone:847-289-5727
Mailing Address - Fax:847-888-5469
Practice Address - Street 1:909 E PALATINE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-5551
Practice Address - Country:US
Practice Address - Phone:847-776-1400
Practice Address - Fax:847-776-1424
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-013370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily