DR. RICHARD NEAL BOLNICK (NPI# 1164402798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164402798 |
| Entity Type | Individual |
| Full Name | DR. RICHARD NEAL BOLNICK |
| Credential | PSYD |
| Practice Address |
977 Lakeview Pkwy Suite 110 Vernon Hills IL 60061-1400 |
| Mailing Address |
977 Lakeview Pkwy Ste 110 Vernon Hills IL 60061-1400 |
| Practice Telephone | 8475496650 |
| Practice Fax Number | 8475497005 |
| Mailing Telephone | 8475496650 |
| Mailing Fax Number | 8475497005 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-003331 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS PROVIDER # | 4932066 | 01 |
| IL | AETNA PIN # | 4205873 | 01 |
| IL | MAGELLAN MIS # | 459034000 | 01 |
| Street Address |
977 LAKEVIEW PKWY SUITE 110 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600462 | Steven Paul Lammers | Psychiatry & Neurology | 977 Lakeview Pkwy, Suite 102, Vernon Hills, IL 60061-1444 | 2005-12-19 |
| 1699333906 | Teresa Romano | Nutritionist | 977 Lakeview Pkwy, Vernon Hills, IL 60061-1400 | 2019-06-01 |
| 1295297364 | Northshore Tms, Sc | Clinic/Center | 977 Lakeview Pkwy, Suite 170, Vernon Hills, IL 60061-1429 | 2019-04-05 |
| 1164997599 | Anna Netzel | Social Worker | 977 Lakeview Pkwy, Vernon Hills, IL 60061-1400 | 2018-10-12 |
| 1336639673 | Richard R Egbert | Counselor | 977 Lakeview Pkwy, Vernon Hills, IL 60061-1400 | 2018-05-12 |
| 1215383781 | Jennifer Johnston Lcsw PC | Counselor | 977 Lakeview Pkwy, Suite 180, Vernon Hills, IL 60061-1400 | 2016-05-13 |
| 1346597259 | Melissa A Mankoff Lcsw LLC | Social Worker | 977 Lakeview Pkwy, Vernon Hills, IL 60061-1400 | 2012-08-09 |
| 1790049989 | Theramind Services, Inc. | Clinic/Center | 977 Lakeview Pkwy, Suite 190, Vernon Hills, IL 60061-1400 | 2012-07-02 |
| 1932428729 | Ellene G Lammers | Social Worker | 977 Lakeview Pkwy, 102, Vernon Hills, IL 60061-1400 | 2010-05-19 |
| 1215166392 | Hawthorn Medical S C | Chiropractor | 977 Lakeview Pkwy, Suite 103, Vernon Hills, IL 60061-1400 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226280 | Carissa Harvey | Psychologist | 175 E Hawthorn Pkwy Ste 220, Vernon Hills, IL 60061-1432 | 2020-02-04 |
| 1083841951 | Gurinder Bolina | Psychologist | 175 E Hawthorne Pkwy, Ste 235, Vernon Hills, IL 60061-1463 | 2009-06-17 |
| 1205976958 | Shari Liebling | Psychologist | 3 Hawthorn Parkway, Suite 150, Vernon Hills, IL 60061-1447 | 2007-02-08 |
| 1710039979 | Doreen Diane Benjamin | Psychologist | 977 Lakeview Pkwy Ste 180, Vernon Hills, IL 60061-1429 | 2007-01-17 |
| 1932295458 | Dena Jill Klapperich | Psychologist | 977 Lakeview Parkway, Suite 180, Vernon Hills, IL 60061 | 2006-10-04 |
| 1528172178 | Rosemary S Giovannone | Psychologist | 1962 N Crenshaw Cir, Vernon Hills, IL 60061-1243 | 2006-08-19 |
| 1699787598 | Ralph John Tobias | Psychologist | 850 Milwawkee Ave, Suite 209, Vernon Hills, IL 60061 | 2006-08-12 |
| 1588016091 | Jennifer Miller | Psychologist | 10 W Phillip Rd, Suite 108, Vernon Hills, IL 60061-1799 | 2016-07-08 |
| 1215365564 | Center for Emotional Peace S.c. | Psychologist | 565 Lakeview Pkwy, Suite 105, Vernon Hills, IL 60061-1857 | 2013-10-24 |
| 1689939613 | Jema Consulting Corporation | Psychologist | 610 Williams Way, Vernon Hills, IL 60061-3252 | 2012-07-05 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on DR. RICHARD NEAL BOLNICK.
| 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.