HEALING SPACE, LLC (NPI# 1316495534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316495534 |
| Entity Type | Organization |
| Organization Name | HEALING SPACE, LLC |
| Practice Address |
2075 Foxfield Rd Suite 102 St Charles IL 60174-1402 |
| Practice Telephone | 8473045526 |
| Practice Fax Number | 6305490527 |
| Mailing Telephone | 8473045526 |
| Mailing Fax Number | 6305490527 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | MARILYN MITCHELL (OWNER) |
| Authorized Official Telephone | 8473045526 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710423660 | Healing Space, LLC | Counselor | 3883 Rogers Bridge Rd, Ste. 203a, Duluth, GA 30097-2802 | 2017-01-17 |
| 1710153879 | Healing Space, LLC | Counselor | 1492 Prince Ave, Athens, GA 30606-2210 | 2008-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Healing Space, LLC | 305 W. Magnolia #333, Fort Collins, CO 80521 |
| Street Address |
2075 FOXFIELD RD SUITE 102 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380067 | Marilyn L. Mitchell | Obstetrics & Gynecology | 2075 Foxfield Rd, Suite 102, St Charles, IL 60174-1402 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669485017 | Kenneth A Noffsinger | Obstetrics & Gynecology | 960 N 5th Ave Ste E, St Charles, IL 60174-1205 | 2006-08-15 |
| 1518974468 | James Winsor Stough | Obstetrics & Gynecology | 960 N 5th Ave, St Charles, IL 60174-1205 | 2006-08-02 |
| 1851380067 | Marilyn L. Mitchell | Obstetrics & Gynecology | 2075 Foxfield Rd, Suite 102, St Charles, IL 60174-1402 | 2005-10-19 |
| 1679586929 | Kenneth A Noffsinger Md Ltd | Obstetrics & Gynecology | 960 N 5th Ave Ste E, St Charles, IL 60174-1205 | 2006-08-15 |
| 1023007887 | William H Kobak | Obstetrics & Gynecology | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on HEALING SPACE, LLC.
| 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.