DR. KYLE CRESSY DEANE (NPI# 1093335770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093335770 |
| Entity Type | Individual |
| Full Name | DR. KYLE CRESSY DEANE |
| Credential | PHD |
| Practice Address |
2211 N Oak Park Ave Chicago IL 60707-3392 |
| Practice Telephone | 7733855865 |
| Mailing Telephone | 7733855865 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.010205 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2211 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770659 | Shubhra Mukherjee | Pediatrics | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2005-09-16 |
| 1134740111 | Emily Mary Thomas | Occupational Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2020-05-01 |
| 1295299600 | Allison Ragins | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2019-01-30 |
| 1033686878 | Katrina Marie Vogel | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2018-10-30 |
| 1326536574 | Shriners Hospitals for Children | Anesthesiology | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-04-24 |
| 1427550748 | Elizabeth Hampton | Physical Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-03-02 |
| 1366986184 | Lynn Freedman | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-12-13 |
| 1992256531 | Kelsey Lynn Moon | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2016-10-19 |
| 1760835938 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-07-22 |
| 1639539984 | Elana Blivaiss | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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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.