MARY THORSON (NPI# 1043875628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043875628 |
| Entity Type | Individual |
| Full Name | MARY THORSON |
| Practice Address |
2025 Washington St Waukegan IL 60085-5131 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 8473601020 |
| Mailing Telephone | 8478683435 |
| Mailing Fax Number | 8478595885 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2025 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174709810 | Independence Center, Inc. | Case Management | 2025 Washington St, Waukegan, IL 60085-5131 | 2008-01-11 |
| 1316547656 | Keli R Poppe | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-27 |
| 1780283184 | Justin Kimbel | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-19 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1649895699 | Amber Hamby | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1174039556 | Amanda Catherine Leonard | Counselor | 20 S County St, Waukegan, IL 60085-5504 | 2017-12-20 |
| 1225388812 | Linda A Hochfeld | Counselor | 320 Grand Ave, Waukegan, IL 60085-4225 | 2012-09-11 |
| 1417250192 | Rebecca Vinson-boyer | Counselor | 2835 Belvidere Rd, Suite 214, Waukegan, IL 60085-6046 | 2010-12-17 |
| 1851557599 | David R Stiver | Counselor | 2233 Yeoman St, Waukegan, IL 60087-4814 | 2008-08-01 |
| 1528088895 | Georgette Bloom | Counselor | 3010 Grand Ave, Floor 1, Waukegan, IL 60085-2321 | 2006-07-20 |
| 1407480619 | Meredith Robbins | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-02-26 |
| 1497226930 | Gina Young | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2018-12-10 |
| 1487135042 | Jamie Gallo-weinstein | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2018-08-22 |
| 1801375100 | Teresa Kaye King | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2018-08-08 |
| Find all providers in WAUKEGAN | ||||
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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.