SYLVIA SIMS BOLTON (NPI# 1083125579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083125579 |
| Entity Type | Individual |
| Full Name | SYLVIA SIMS BOLTON |
| Practice Address |
3004 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778197 |
| Practice Fax Number | 8479845691 |
| Mailing Telephone | 8473778197 |
| Mailing Fax Number | 8479845691 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31180 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3004 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720290091 | County of Lake | Community/Behavioral Health | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| 1154834851 | Erika N Hetland | Social Worker | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-11-16 |
| 1487178109 | Solomon Yacob Berhanu | Student in an Organized Health Care Education/Training Program | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-08-03 |
| 1659825396 | Kimberly Jean Watts | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2016-08-11 |
| 1992155022 | County of Lake | Clinic/Center | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2016-06-20 |
| 1326412057 | Christopher Butler Sr. | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2015-11-18 |
| 1568862340 | James Spiziri | Registered Nurse | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2014-08-28 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1174802342 | Nashonna Turner | Counselor | 726 W Grove Ave # 2nd, Waukegan, IL 60085-1849 | 2011-08-05 |
| 1154987733 | Sharon D Jones | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-19 |
| 1548823396 | Katherine Lorelen Nauert-dineen | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-17 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| 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.