ABDIEL MEDICAL SPECIALTY LLC (NPI# 1417385238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417385238 |
| Entity Type | Organization |
| Organization Name | ABDIEL MEDICAL SPECIALTY LLC |
| Practice Address |
209 S Lincoln Ave Mundelein IL 60060-2735 |
| Practice Telephone | 8475663129 |
| Practice Fax Number | 8475661829 |
| Mailing Telephone | 8475663129 |
| Mailing Fax Number | 8475661829 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | TERESA MOILANEN (AGENCY SUPERVISOR) |
| Authorized Official Telephone | 8475663129 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
209 S LINCOLN AVE |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352888 | Marcus E. Windhom Sr. | Community Health Worker | 7736 S Kimbark Ave, Chicago, IL 60619-3429 | 2020-06-29 |
| 1003443417 | Myrtle Rycraw | Community Health Worker | 4800 Southwick Dr Ste 300, Matteson, IL 60443-2235 | 2020-03-25 |
| 1669008157 | Jonathan Brent Orth | Community Health Worker | 5118 N 1350th St, Watson, IL 62473-2271 | 2020-03-17 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1669020459 | Pamela J Wishecoby | Community Health Worker | 41 Cayman Dr, Montgomery, IL 60538-2703 | 2019-08-27 |
| 1811543713 | Ellise Jeannette Boyd | Community Health Worker | 455 Ruby St, Joliet, IL 60435-6202 | 2019-08-15 |
| 1346801610 | Vas Networking Services | Community Health Worker | 6330 S King Drive Ave, Chicago, IL 60637-3115 | 2019-06-26 |
| 1417516618 | John R Allen | Community Health Worker | 428 N Cass Ave, Westmont, IL 60559-1502 | 2019-06-11 |
| 1598322026 | Diane Lakita Dotson | Community Health Worker | 9211so. Laflin, 2a, Chicago, IL 60620-6504 | 2019-05-21 |
| 1790253466 | Dewanda Crochrell | Community Health Worker | 2116 Edison Ave, Granite City, IL 62040-4717 | 2018-11-11 |
| Find all providers with the same taxonomy | ||||
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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.