KEITH HARRIS (NPI# 1174164149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174164149 |
| Entity Type | Individual |
| Full Name | KEITH HARRIS |
| Practice Address |
2400 Glenwood Ave Joliet IL 60435-5474 |
| Practice Telephone | 8157307521 |
| Practice Fax Number | 8157307524 |
| Mailing Telephone | 8157307521 |
| Mailing Fax Number | 8157307524 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508367848 | Keith J. Harris | Social Worker | 4648 N Leclaire Ave, Chicago, IL 60630-3817 | 2018-02-22 |
| 1073894994 | Keith Daniel Harris | Physician Assistant | 32 Beryl Cir, Pinehurst, NC 28374-9128 | 2011-09-06 |
| 1477646768 | Keith D Harris | Physical Therapist | 406 Campton Pl, Suite B, Newport News, VA 23608-9390 | 2006-10-02 |
| 1922090224 | Keith R. Harris | Specialist | 100 Market Place Blvd Ste 300, Cartersville, GA 30121-8717 | 2005-08-22 |
| 1740840131 | Keith Harris Jr. | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-06-18 |
| 1700327657 | Keith Harris | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2017-03-12 |
| 1477703486 | Keith Harris | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608 | 2008-09-26 |
| 1912043845 | Keith Lloyd Harris | Psychiatry & Neurology | 755 New York Ave, Suite 435, Huntington, NY 11743-4240 | 2007-01-29 |
| 1154477636 | Keith Stell Harris | Psychologist | 400 W 1st St, Modoc Call, Chico, CA 95929-0001 | 2007-01-26 |
| 1538235726 | Keith E Harris | Internal Medicine | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-28 |
| Street Address |
2400 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759835 | Sung Chul Ahn | Physical Medicine & Rehabilitation | 2400 Glenwood Ave, Suite 120, Joliet, IL 60435-5474 | 2006-02-15 |
| 1477194579 | Diane Paron | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1447891429 | Karon M Buis | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1942841952 | Stanley Jerome Valentine | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1558718064 | Family Guidance Centers, Inc. | Clinic/Center | 2400 Glenwood Ave, Suite 100, Joliet, IL 60435-5474 | 2016-05-16 |
| 1295104958 | Vna Health Care | Clinic/Center | 2400 Glenwood Ave, Suite 220, Joliet, IL 60435-5474 | 2015-09-23 |
| 1194094094 | Family Guidance Centers, Inc. | Clinic/Center | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2011-12-21 |
| 1013163757 | Amy L Finan | Speech-Language Pathologist | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2008-08-13 |
| 1215192034 | Amedisys Illinois, L.L.C. | Home Health | 2400 Glenwood Ave, Suite 205, Joliet, IL 60435-5474 | 2008-07-21 |
| 1437327699 | Maureen Helen Harper | Occupational Therapist | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751719 | Bipin Sharma | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2013-06-26 |
| 1114202074 | Brad Travis | Counselor | 1224 Norley Ave, Joliet, IL 60435-4074 | 2011-10-11 |
| 1568773810 | Rhonda L Sykes | Counselor | 1150 Essington Rd Ste 101, Joliet, IL 60435-8447 | 2010-07-01 |
| 1497393839 | Gateway Professional Services, PC | Counselor | 1419 Essington Rd, Joliet, IL 60435-2873 | 2019-12-17 |
| 1477194579 | Diane Paron | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1447891429 | Karon M Buis | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1942841952 | Stanley Jerome Valentine | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1538700505 | Rosa Lopez | Counselor | 2400 Glenwood Ave Ste 126, Joliet, IL 60435-5495 | 2019-10-01 |
| 1154973204 | Kirsten Leininger | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2019-07-09 |
| 1801303664 | Existential Counselor Society | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2018-01-03 |
| Find all providers in JOLIET | ||||
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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.