SURESTEP (NPI# 1124464912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124464912 |
| Entity Type | Organization |
| Organization Name | SURESTEP |
| Practice Address |
471 Briargate Dr South Elgin IL 60177-2225 |
| Practice Telephone | 2245358624 |
| Practice Fax Number | 8474292078 |
| Mailing Telephone | 2245358624 |
| Mailing Fax Number | 8474292078 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | AARON MILLER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2245358624 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
036.131190 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518241660 | Surestep | Counselor | 1220 S Alma School Rd, Suite 210, Mesa, AZ 85210-2068 | 2011-10-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SURESTEP INDUSTRIES, LLC | Po Box 281, Wheat Ridge, CO 80034 |
| System for Award Management (SAM) Entities | SURESTEP, LLC | 17530 Dugdale Dr, South Bend, IN 46635-1583 |
| Indiana Business Entities | SURESTEP, LLC | 17530 Dugdale Dr, South Bend, IN 46635-1583 |
| Street Address |
471 BRIARGATE DR |
| City | SOUTH ELGIN |
| State | IL |
| Zip Code | 60177-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104009307 | Aaron Michael Miller | Psychiatry & Neurology | 471 Briargate Dr, South Elgin, IL 60177-2225 | 2007-12-11 |
| 1366787251 | Thornwood Neurology | Clinic/Center | 471 Briargate Dr, South Elgin, IL 60177-2225 | 2012-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 1730683582 | Pelvic Balance Physical Therapy, LLC | Physical Therapist | 10 N Collins St., South Elgin, IL 60177 | 2018-03-19 |
| 1437693504 | Olaide Olaigbe | Counselor | 690 Fielcrest Drive, Unit A, South Elgin, IL 60177 | 2016-12-08 |
| 1053869461 | Nicole Augustine | Counselor | 418 N. Center Street, South Elgin, IL 60177 | 2016-09-14 |
| 1013351733 | Rehabcare | Skilled Nursing Facility | 746 West Spring Street, South Elgin, IL 60177 | 2013-04-24 |
| 1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
| 1679708572 | Miller Dentistry LLC | Clinic/Center | 404 Randall Road, South Elgin, IL 60177 | 2009-05-20 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| 1285898643 | Jennifer Deanne Mercier | Naturopath | 101 South Mclean Bvld, South Elgin, KANE COUNTY 60177 | 2008-07-15 |
| 1295956845 | Megan Ryan | Counselor | 1283 Angeline Dr., South Elgin, IL 60177 | 2007-05-01 |
| Find all providers in zip 60177 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741844 | Rose Medical Association, Inc. | Psychiatry & Neurology | 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 | 2017-07-03 |
| 1215208491 | Fred M Levin Md Sc | Psychiatry & Neurology | 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 | 2012-01-20 |
| 1568525277 | Usha D Malkerneker | Psychiatry & Neurology | 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429-1485 | 2006-12-18 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1255340097 | Michael Rachman | Psychiatry & Neurology | 1375 E Schaumburg Road, Suite 260, Schaumburg, IL 60194-3658 | 2006-08-07 |
| 1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
| 1184610107 | Lucy Ibrahim | Psychiatry & Neurology | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2005-09-26 |
| 1528681764 | Holon Inclusive Behavioral Health | Psychiatry & Neurology | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-21 |
| 1013555416 | Mathers Recovery LLC | Psychiatry & Neurology | 81 E Grand Ave, Fox Lake, IL 60020-1557 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ELGIN |
| Zip Code | 60177 |
Please comment or provide details below to improve the information on SURESTEP.
| 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.