ANA LILIA JAVIER-ETAPA


Address: 3317 W 95th St Ste 205, Evergreen Park, IL 60805-2243
Phone: 7082001306

ANA LILIA JAVIER-ETAPA (NPI# 1245459106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245459106
Entity Type Individual
Full Name ANA LILIA JAVIER-ETAPA
Credential L.C.P.C
Practice Address 3317 W 95th St Ste 205
Evergreen Park
IL 60805-2243
Mailing Address 9545 S Pulaski Rd
Evergreen Park
IL 60805-1913
Practice Telephone 7082001306
Practice Fax Number 7086342814
Mailing Telephone 7086991997
Mailing Fax Number 7086342814
Enumeration Date 2007-04-25
Last Update Date 2014-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.007559 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 1617631 01
IL MEDICARE 202591 01

Office Location

Street Address 3317 W 95TH ST STE 205
City EVERGREEN PARK
State IL
Zip Code 60805-2243

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487254603 Cynthia Nicole Bucio Pharmacist 9400 S. Western, Evergreen Park, N/A 60805 2020-10-27
1124530456 Foundations Counseling, LLC Social Worker 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 2017-10-26
1184147886 Luke Blaeser Specialist/Technologist 2856 W. 97th Pl., Evergreen Park, IL 60805 2017-07-25
1396193322 Daniel Joseph Bierbaum Howard Emergency Medicine 2800 95th St, Emergency Department, Evergreen Park, IL 60805 2016-05-31
1588037873 Lcr Primary Care LLC Exclusive Provider Organization 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 2015-11-09
1447639091 Nancy Sanchez Social Worker 9832 S Utica Ave, Evergreen Park, IL 60805 2015-05-28
1629334743 Harshad M. Mehta Md Sc Psychiatry & Neurology 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 2012-04-03
1235407305 Victoria T Adesina Pharmacist 8700 South Kedzie Ave, Evergreen Park, IL 60805 2011-12-05
1891072922 Zahia-lena Refat Hussien Pharmacist 8700 S. Kedzie Ave, Evergreen Park, IL 60805 2011-11-03
1891079091 Denise Adams Occupational Therapy Assistant 9217 S. Kedzie, Evergreen Park, IL 60805 2011-10-06
Find all providers in zip 60805

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588016166 Margaret Knapp Counselor 9616 S Maplewood Ave, Evergreen Park, IL 60805-2712 2016-07-07
1801244413 Joseph H Campbell IIi Counselor 9721 S Albany Ave, Unit 2, Evergreen Park, IL 60805-3120 2016-05-25
1669847430 John William Hallinan Counselor 9807 S Albany Ave, Evergreen Park, IL 60805-3122 2015-12-04
1437589660 Carla Carter Counselor 9416 S Harding Ave, Evergreen Park, IL 60805-1919 2013-11-25
1003155672 Aditra Allison Albright Counselor 9201 S Clifton Park Ave, Evergreen Park, IL 60805-1508 2013-02-02
1992091342 Leon John Dibiasio Counselor 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 2011-06-23
1245842814 Michael Anderson Counselor 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 2020-08-17
1538707559 Anne Marie Novotny Counselor 3317 W 95th St, Evergreen Park, IL 60805-2243 2019-12-20
1558902023 Olivia Brooks Counselor 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 2019-10-04
1063078947 Chaunte Wilder Counselor 3317 W 95th St, Evergreen Park, IL 60805-2243 2019-05-15
Find all providers in EVERGREEN PARK

Competitor

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City EVERGREEN PARK
Zip Code 60805

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Dataset Information

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.

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