Provider Demographics
NPI:1649363607
Name:PINTZ, BRIGITTE C (APN-CNM)
Entity type:Individual
Prefix:MS
First Name:BRIGITTE
Middle Name:C
Last Name:PINTZ
Suffix:
Gender:F
Credentials:APN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVENUE
Mailing Address - Street 2:WALGREENS 1507
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2860
Mailing Address - Fax:847-570-2910
Practice Address - Street 1:2650 RIDGE AVENUE
Practice Address - Street 2:WALGREENS 1507
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-570-2860
Practice Address - Fax:847-570-2910
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041297426163W00000X
IL209000517367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse