MARY THEIS (NPI# 1366808974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366808974 |
| Entity Type | Individual |
| Full Name | MARY THEIS |
| Credential | MA, CSLG PSY LCPC |
| Practice Address |
9343 Drake Ave Evanston IL 60203-1406 |
| Practice Telephone | 8476777022 |
| Mailing Telephone | 8476777022 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.004853 | IL | Behavioral Health & Social Service Providers |
| Street Address |
9343 DRAKE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60203-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026210 | Catherine Gluck | Physical Therapist | 8827 Central Park Ave, Evanston, IL 60203 | 2008-09-19 |
| 1750597399 | Christian F Wong | Pharmacist | 9306 N Bennett Ave., Evanston, IL 60203 | 2007-05-14 |
| 1811093156 | Michael Horowitz | Psychologist | 9231 Springfield Avenue, Evanston, IL 60203 | 2006-09-15 |
| 1962809418 | Donna Stanton | Registered Nurse | 9514 Lawndale Ave, Evanston, IL 60203-1007 | 2014-11-28 |
| 1548486731 | Judith B Schechtman | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
| 1558587642 | Psyche Net Inc | Social Worker | 9509 Crawford Ave, Evanston, IL 60203-1012 | 2007-04-17 |
| 1881723856 | Cynthia Franklin | Pharmacist | 9521 Harding Ave, Evanston, IL 60203-1019 | 2007-03-05 |
| 1518982362 | Carol Evelyn Gordon | Social Worker | 9443 Drake Ave, Evanston, IL 60203-1105 | 2006-07-13 |
| 1114221660 | Megan Haughey | Behavioral Analyst | 9440 Drake Ave, Evanston, IL 60203-1106 | 2010-12-26 |
| 1326263740 | Richard D Chessick | Psychiatry & Neurology | 9400 Drake Ave, Evanston, IL 60203-1106 | 2007-04-13 |
| Find all providers in zip 60203 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1114538329 | Peggy Rubenstein | Counselor | 826 Judson Ave Apt 3, Evanston, IL 60202-2462 | 2020-08-11 |
| 1831708304 | Alison Toback, Lcpc | Counselor | 708 Church St Ste 221, Evanston, IL 60201-3840 | 2020-07-30 |
| 1306466644 | Hedy Helfand | Counselor | 211 Dewey Ave, Evanston, IL 60202-3713 | 2020-04-16 |
| 1912532672 | Lora Slutsky | Counselor | 2020 Dempster St, Evanston, IL 60202-1017 | 2020-03-03 |
| 1740813021 | Shairee Lackey | Counselor | 1206 Pitner Ave, Evanston, IL 60202-1049 | 2020-02-15 |
| 1013568989 | Peter Agostino | Counselor | 1327 Ashland Ave Apt 1, Evanston, IL 60201-6805 | 2019-09-23 |
| 1891357356 | Amy Owen Counseling LLC | Counselor | 708 Church St Ste 219, Evanston, IL 60201-3881 | 2019-07-05 |
| 1265906028 | Monica Isaac | Counselor | 708 Church St Ste 217, Evanston, IL 60201-3881 | 2019-01-15 |
| 1801366364 | Kaitlyn Whitebread | Counselor | 726 Hinman Ave Apt 2e, Evanston, IL 60202-2570 | 2018-11-27 |
| Find all providers in EVANSTON | ||||
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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.