FIRST RESPONDERS WELLNESS CENTER, LLC (NPI# 1417408303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417408303 |
| Entity Type | Organization |
| Organization Name | FIRST RESPONDERS WELLNESS CENTER, LLC |
| Practice Address |
477 E Butterfield Rd #204 Lombard IL 60148-5618 |
| Practice Telephone | 6309099094 |
| Mailing Telephone | 6309099094 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | DR. CARRIE L STEINER (FOUNDER/LCP) |
| Authorized Official Telephone | 6309099094 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008311 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F300208691 | 01 |
| Street Address |
477 E BUTTERFIELD RD #204 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821764 | Terry Harlan Shapiro | Psychologist | 477 E Butterfield Rd, Suite Ll005, Lombard, IL 60148-5618 | 2006-07-11 |
| 1669936548 | Robert Angelo Casale | Counselor | 477 E Butterfield Rd, Lombard, IL 60148-5618 | 2019-01-25 |
| 1376094482 | Alc Staffing, LLC Dba Alc Home Services | In Home Supportive Care | 477 E Butterfield Rd, Suite 400b, Lombard, IL 60148-5618 | 2016-10-24 |
| 1902350978 | Richard A Kelly | Counselor | 477 E Butterfield Rd, Lombard, IL 60148-5618 | 2016-08-08 |
| 1740650860 | Alc Palliative and Hospice Care, Inc | Hospice Care, Community Based | 477 E Butterfield Rd, Lombard, IL 60148-5618 | 2015-10-01 |
| 1134485774 | James M. Abec, Phd, Ltd | Clinic/Center | 477 E Butterfield Rd, Suite 201, Lombard, IL 60148-5618 | 2012-04-09 |
| 1528333408 | Carrie Lynn Steiner | Psychologist | 477 E Butterfield Rd, Suite 204, Lombard, IL 60148-5618 | 2012-03-12 |
| 1588998041 | Richard B. Foulkes, M.d. & Associates, S.c. | Ophthalmology | 477 E Butterfield Rd, Suite 101, Lombard, IL 60148-4880 | 2009-09-30 |
| 1073765467 | Future Vision Laser Center | Ophthalmology | 477 E Butterfield Rd, Suite 101, Lombard, IL 60148-5618 | 2008-10-16 |
| 1174770309 | Future Vision Eyecare Inc | Optometrist | 477 E Butterfield Rd, Ste. 101, Lombard, IL 60148-5618 | 2008-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609281385 | Dianna L Kucera | Psychologist | 1920 S Highland Ave Ste 300-10, Lombard, IL 60148-4766 | 2014-06-21 |
| 1801821764 | Terry Harlan Shapiro | Psychologist | 477 E Butterfield Rd, Suite Ll005, Lombard, IL 60148-5618 | 2006-07-11 |
| 1912530999 | Imman Musa | Psychologist | 998 N Lombard Rd, Lombard, IL 60148-1264 | 2020-02-18 |
| 1245790096 | Brooke Morse-karzen | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-03-20 |
| 1972061307 | Samantha Blevins | Psychologist | 1920 S Highland Ave Ste 300, Lombard, IL 60148-6149 | 2019-03-05 |
| 1396209383 | Ravi Shah | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2019-01-24 |
| 1679043764 | Mary Colleen Ross-newman | Psychologist | 246 E Janata Blvd Ste 112, Lombard, IL 60148-5377 | 2018-11-30 |
| 1265804330 | Kristin Clifford | Psychologist | 246 E Janata Blvd, Lombard, IL 60148-5317 | 2015-10-28 |
| 1841564440 | Nancy Schneider | Psychologist | 440 S Finley Rd, Lombard, IL 60148-2429 | 2012-02-28 |
| 1386951812 | A Plus Extended Therapy Inc | Psychologist | 1920 S Highland Ave, Ste 314, Lombard, IL 60148-4988 | 2010-09-03 |
| Find all providers in LOMBARD | ||||
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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.