PHYSICIANS LABORATORY, LLC (NPI# 1265737787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265737787 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS LABORATORY, LLC |
| Practice Address |
1410 W Fulton St Suite 204 Chicago IL 60607-1110 |
| Practice Telephone | 3122624600 |
| Practice Fax Number | 3122624531 |
| Mailing Telephone | 3122624600 |
| Mailing Fax Number | 3122624531 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | MR. WILLIAM NAVAS (PRESIDENT) |
| Authorized Official Telephone | 3122624600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Street Address |
1410 W FULTON ST SUITE 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346541729 | Cptl Home Pharmacy Inc | Pharmacy | 1410 W Fulton St, Suite 201, Chicago, IL 60607-1110 | 2010-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502891 | All American Midwest Insurance Brokers, Inc. | Supports Brokerage | 1133 N. Dearborn St., Suite 2204, Chicago, IL 60610 | 2015-06-30 |
| 1184051013 | Global Financial Planning | Supports Brokerage | 11701 S Longwood Dr, Chicago, IL 60643-4831 | 2013-10-09 |
| 1396037578 | Tasc, Inc | Supports Brokerage | 1500 N Halsted St, Chicago, IL 60642-2517 | 2011-05-06 |
| 1760939623 | The Moodo Insurance Group | Supports Brokerage | 332 S Michigan Ave, Ste 1032, Chicago, IL 60604-4434 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821423252 | Shore-murphy and Associates, LLC | Supports Brokerage | 602 Archer Ave, Marshall, IL 62441-1268 | 2013-09-04 |
| 1326219643 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
| 1851454664 | Medical Service and Support LLC Mbfs | Supports Brokerage | 500 Linden Avenue, Oak Park, IL 60302-1659 | 2006-12-19 |
| 1881054757 | Statewide Agency | Supports Brokerage | 1920 Waukegan Rd, Suite 5, Glenview, IL 60025-1717 | 2016-03-04 |
| 1982870689 | Options & Advocacy | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-05-02 |
| 1417128737 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
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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.