JUDITH ANN PETIT I (NPI# 1356808133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356808133 |
| Entity Type | Individual |
| Full Name | JUDITH ANN PETIT I |
| Credential | CADC |
| Practice Address |
2 American Way Elgin IL 60120-4341 |
| Mailing Address |
4438 Blackberry Knoll Dr Loves Park IL 61111-4309 |
| Practice Telephone | 8477423545 |
| Practice Fax Number | 8477423559 |
| Mailing Telephone | 8155581885 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| 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 |
| Street Address |
2 AMERICAN WAY |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249179 | Ecker Center for Behavioral Health | Clinic/Center | 2 American Way, Elgin, IL 60120-4341 | 2020-06-15 |
| 1710510664 | Irene Oswald | Community Health Worker | 2 American Way, Elgin, IL 60120-4341 | 2020-02-19 |
| 1295380277 | Waseem Khalaf | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-08-06 |
| 1720647407 | Ronald E Thomas Sr. | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-06-06 |
| 1821557919 | Solana Alexandra Victoria | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-03-18 |
| 1689131369 | Angelina Peralez | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-02-28 |
| 1053878728 | Barbara Eunice Pachmayer I | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-02-28 |
| 1386101426 | Jonathan Douglas Gale | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-02-25 |
| 1255805115 | James Spencer | Social Worker | 2 American Way, Elgin, IL 60120-4341 | 2019-01-14 |
| 1225501521 | Nicole Marie Lewis | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564095 | Eliza K Adams | Counselor | 107 Stonehurst Dr, Elgin, IL 60120-4661 | 2019-08-23 |
| 1003356742 | Anthony Dillard Sr. | Counselor | 995 Bode Rd, Elgin, IL 60120-4523 | 2017-02-28 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1245417302 | Debra K. Hirschberg and Associates, Inc. | Counselor | 109 Hill Ave, Elgin, IL 60120-4412 | 2008-01-30 |
| 1598882854 | Courtney Jahn | Counselor | 675 Varsity Dr, Elgin, IL 60120-8176 | 2007-03-23 |
| 1629194501 | Deborah Mary Mcellin | Counselor | 675 Varsity Drive, Elgin, IL 60120-8176 | 2007-03-22 |
| 1528107950 | Luanne Maniacek | Counselor | 2050 Larkin Ave., Suite 202, Elgin, IL 60123-0000 | 2007-02-05 |
| 1124031653 | Karen S Chesney | Counselor | 551 Tollgate Rd Ste F, Elgin, IL 60123-9357 | 2006-08-14 |
| 1225643174 | Jay Jackson Swanson | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-08 |
| 1295380277 | Waseem Khalaf | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-08-06 |
| Find all providers in ELGIN | ||||
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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.