CENTER FOR INTUITIVE GROWTH AND HEALING (NPI# 1023583754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023583754 |
Entity Type | Organization |
Organization Name | CENTER FOR INTUITIVE GROWTH AND HEALING |
Practice Address |
3830 W 95th St Ste 103 Evergreen Park IL 60805-2004 |
Mailing Address |
9519 S Trumbull Ave Evergreen Park IL 60805-3058 |
Practice Telephone | 7082001306 |
Practice Fax Number | 7089073729 |
Mailing Telephone | 7082001306 |
Mailing Fax Number | 7089073729 |
Enumeration Date | 2018-10-09 |
Last Update Date | 2018-10-09 |
Authorized Official Name | ANA LILIA JAVIER-ETAPA (OWNER) |
Authorized Official Telephone | 7082001306 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 1245459106 | 05 |
Street Address |
3830 W 95TH ST STE 103 |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356703490 | Ashley Schuch | Social Worker | 3830 W 95th St Ste 103, Evergreen Park, IL 60805-2004 | 2016-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588016166 | Margaret Knapp | Counselor | 9616 S Maplewood Ave, Evergreen Park, IL 60805-2712 | 2016-07-07 |
1801244413 | Joseph H Campbell IIi | Counselor | 9721 S Albany Ave, Unit 2, Evergreen Park, IL 60805-3120 | 2016-05-25 |
1669847430 | John William Hallinan | Counselor | 9807 S Albany Ave, Evergreen Park, IL 60805-3122 | 2015-12-04 |
1437589660 | Carla Carter | Counselor | 9416 S Harding Ave, Evergreen Park, IL 60805-1919 | 2013-11-25 |
1003155672 | Aditra Allison Albright | Counselor | 9201 S Clifton Park Ave, Evergreen Park, IL 60805-1508 | 2013-02-02 |
1992091342 | Leon John Dibiasio | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2011-06-23 |
1245459106 | Ana Lilia Javier-etapa | Counselor | 3317 W 95th St Ste 205, Evergreen Park, IL 60805-2243 | 2007-04-25 |
1245842814 | Michael Anderson | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2020-08-17 |
1538707559 | Anne Marie Novotny | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-12-20 |
1558902023 | Olivia Brooks | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2019-10-04 |
Find all providers in EVERGREEN PARK |
City | EVERGREEN PARK |
Zip Code | 60805 |
Please comment or provide details below to improve the information on CENTER FOR INTUITIVE GROWTH AND HEALING.
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.