THE TABOR THERAPY GROUP, INC (NPI# 1003435934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003435934 |
| Entity Type | Organization |
| Organization Name | THE TABOR THERAPY GROUP, INC |
| Practice Address |
12151 Regency Pkwy Ste 12169 Huntley IL 60142-7644 |
| Mailing Address |
5404 W Elm St Ste H Mchenry IL 60050-4007 |
| Practice Telephone | 8153318768 |
| Mailing Telephone | 8153318768 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | JENNIFER ANN TABOR (OWNER) |
| Authorized Official Telephone | 8153318768 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE TABOR THERAPY GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B17-IPI-002 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5404 W Elm St Ste H, Mchenry, IL 600504007 | 8153318768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114457850 | The Tabor Therapy Group, Inc | Clinic/Center | 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050-6005 | 2017-06-15 |
| 1619596541 | The Tabor Therapy Group, Inc | Clinic/Center | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-04-10 |
| 1629480587 | The Tabor Therapy Group, Inc | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2014-05-27 |
| Street Address |
12151 REGENCY PKWY STE 12169 |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142-7644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472721 | Alexandra Kraus | Counselor | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-09-22 |
| 1619596541 | The Tabor Therapy Group, Inc | Clinic/Center | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596541 | The Tabor Therapy Group, Inc | Clinic/Center | 12151 Regency Pkwy Ste 12169, Huntley, IL 60142-7644 | 2020-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1699372250 | Ctf Illinois | Clinic/Center | 1400 Reynolds Dr, Charleston, IL 61920-2411 | 2020-10-07 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1962017665 | Hopeology, Pllc | Clinic/Center | 700 E North St Ste B, Elburn, IL 60119-7009 | 2020-09-10 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1508479288 | Bash Psychotherapy Corporation | Clinic/Center | 413 E Berry Rd, Barrington, IL 60010-3317 | 2020-08-24 |
| 1326658402 | Ventura Counseling, LLC | Clinic/Center | 620 Manchester Ave, Westchester, IL 60154-2714 | 2020-08-04 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.