ADOLESCENT AND YOUNG ADULT PLACE LTD (NPI# 1417259979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417259979 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT AND YOUNG ADULT PLACE LTD |
| Practice Address |
9 N Cicero Ave Chicago IL 60644-3602 |
| Mailing Address |
Po Box 795 Hillside IL 60162-0795 |
| Practice Telephone | 3128592491 |
| Mailing Telephone | 7085446553 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MARGO ANTOINETTE BELL (OWNER) |
| Authorized Official Telephone | 3128592491 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036086432 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036086432 | 05 |
| Street Address |
9 N CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
| 1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
| 1417966789 | Sudha V. Shah | Pediatrics | 1516 W Devon Ave, Chicago, IL 60660-1314 | 2006-08-05 |
| 1447259759 | Kimberly A. Koval | Pediatrics | 1030 N Clark St, Suite 400, Chicago, IL 60610-5467 | 2005-07-19 |
| 1235451402 | Felicia Scott | Pediatrics | 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 | 2010-02-15 |
| 1124260625 | Sonia Wengerhoff | Pediatrics | 2835 N Sheffield Ave, Suite 501, Chicago, IL 60657-5081 | 2009-03-30 |
| 1275773475 | My Pediatrics Associates LLC | Pediatrics | 2875 W 19th St, Chicago, IL 60623-3501 | 2009-02-27 |
| 1528233087 | Nava Segall Md Sc | Pediatrics | 4116 N Lincoln Ave, Chicago, IL 60618-3028 | 2008-04-25 |
| 1093934275 | The Board of Trustees of The University of Illinois | Pediatrics | 840 S Wood St, Chicago, IL 60612-4325 | 2007-04-25 |
| 1427107812 | Margo Antoinette Bell | Pediatrics | 1901 W Harrison St, Administration, Suite 1112, Chicago, IL 60612-3714 | 2007-01-09 |
| Find all providers in CHICAGO | ||||
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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.