MR. NATHANIEL BROWN (NPI# 1386016673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386016673 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL BROWN |
| Credential | CADC |
| Practice Address |
1113 W Greenwood Ave Waukegan IL 60087-4908 |
| Practice Telephone | 8472444434 |
| Mailing Telephone | 7738958770 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
30664 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540499 | Nathaniel George Brown | Student in an Organized Health Care Education/Training Program | 412th Medical Group 30 Nightingale Rd., Building #5525, Edwards Air Force Base, CA 93524 | 2020-05-21 |
| 1114445780 | Nathaniel Michael Brown Sr. | Non-emergency Medical Transport (VAN) | 4424 Sumrall Dr, Baton Rouge, LA 70811-6051 | 2017-09-05 |
| 1598294357 | Nathaniel Brown Jr. | Taxi | 215 Tremont St, Rochester, NY 14608-2393 | 2017-06-06 |
| 1750657755 | Nathaniel Joseph Brown | Anesthesiology | 1700 N Wheeling St, Rocky Mountain Regional Vamc -- Anesthesiology, Aurora, CA 80045 | 2012-03-24 |
| 1336132745 | Nathaniel F Brown | Emergency Medicine | 1609 Eglin St, Hanscom Afb, Hanscom Afb, MA 01731-2613 | 2005-08-31 |
| 1598289050 | Nathaniel Holmes Brown | Social Worker | 932 S 60th St, West Allis, WI 53214-3369 | 2017-07-26 |
| 1194263095 | Nathaniel Brown | Massage Therapist | 541 Athol Ave, Oakland, CA 94606-1507 | 2017-02-10 |
| 1083161186 | Nathaniel Brown | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2016-09-06 |
| 1295077154 | Nathaniel A Brown | Psychiatry & Neurology | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2013-03-19 |
| 1740538156 | Nathaniel S Brown | Nurse Practitioner | 870 S Front St Ste 200, Central Point, OR 97502-2779 | 2012-08-16 |
| Street Address |
1113 W GREENWOOD AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715205 | Nicasa, Nfp | Community/Behavioral Health | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2014-02-05 |
| 1487135042 | Jamie Gallo-weinstein | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2018-08-22 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1083088256 | Marcos Carrillo | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1255705414 | Elizabeth Carbonell | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1871967190 | Laurie Kelly | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-24 |
| 1568836138 | Michael Labellart | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-19 |
| 1356714232 | Pamela Williams | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-02 |
| 1538531991 | Ferlando Mallory | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| 1952773319 | Stephanie Escobar | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1174802342 | Nashonna Turner | Counselor | 726 W Grove Ave # 2nd, Waukegan, IL 60085-1849 | 2011-08-05 |
| 1154987733 | Sharon D Jones | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-19 |
| 1548823396 | Katherine Lorelen Nauert-dineen | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-17 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| Find all providers in WAUKEGAN | ||||
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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.