ANDREA WILSON


Address: 4115 W Adams St, Chicago, IL 60624-2702
Phone: 7738859700

ANDREA WILSON (NPI# 1447603493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447603493
Entity Type Individual
Full Name ANDREA WILSON
Practice Address 4115 W Adams St
Chicago
IL 60624-2702
Practice Telephone 7738859700
Practice Fax Number 7735336288
Mailing Telephone 7738859700
Mailing Fax Number 7735336288
Enumeration Date 2016-07-14
Last Update Date 2016-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
178012148 IL Behavioral Health & Social Service Providers

Other Providers ANDREA WILSON

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1194196618 Andrea Wilson Health Educator 100 North Washington St., Station 14, Livingston, AL 35470 2015-10-09
1396169306 Andrea Wilson Nurse's Aide 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 2014-02-11
1891047833 Andrea Wilson Behavioral Analyst 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 2012-10-14
1609172253 Andrea Michelle Wilson Doula 2915 N Texas St, 150, Fairfield, CA 94533-1291 2011-01-30
1871812586 Andrea M Wilson Licensed Practical Nurse 772 Smiley Ave, Cincinnati, OH 45240-1948 2010-05-19
1265596530 Andrea Gibbs Wilson Counselor 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 2006-12-21
1558424614 Andrea Lois Wilson Physician Assistant 9000 N Main Street, Suite 101, Dayton, OH 45415 2006-12-19

Office Location

Street Address 4115 W ADAMS ST
City CHICAGO
State IL
Zip Code 60624-2702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1629619572 Denise R Bean Technician 3322 West Polk St, Chicago, IL 60624 2019-10-02
1033693742 Ahmed Hussain Memon Nurse Practitioner 3800 West Madison, Chicago, IL 60624 2018-09-18
1487104006 Jeffrey Blythe Social Worker 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 2016-10-06
1366992216 Brian Macwilliams Social Worker 3605 W. Fillmore St, Chicago, IL 60624 2016-10-04
1982151510 Darryl Lamont Clayton Counselor 3605 W. Fillmore, Chicago, IL 60624 2016-09-01
1821487646 Total Enrichment Services Inc. Counselor 3335 W Washington Blvd, Chicago, IL 60624 2015-01-16
1295038818 Raad N Rashan M D S C Internal Medicine 3743 W Chicago Ave, Chicago, IL 60624 2010-12-21
1194044453 Theresa Roberts Speech-Language Pathologist 3240 W. Franklin Blvd, Chicago, IL 60624 2010-05-26
1154570208 Ht Outpatient Pharmacy Pharmacy 3435 W Vanburen St, Chicago, IL 60624 2008-09-13
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1073127775 Deborah Lynn Dettman Counselor 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 2020-09-01
1538705793 Andrew W Rintels Counselor C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 2019-11-22
1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
1801447552 Erika Chawla Counselor 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 2019-09-24
1336790310 Robert J Smith Counselor 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 2019-09-22
1255997987 Austin Hall Counselor 2942 W Lake St, Chicago, IL 60612-1924 2019-05-17
1417418914 Monica Connelly Counselor 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 2019-03-27
1336608439 Columbus Manor Counselor 5107 W Jackson Blvd, Chicago, IL 60644-4316 2019-03-18
1972062958 Patricia B Flaherty Counselor 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 2019-03-18
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Competitor

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City CHICAGO
Zip Code 60624

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Dataset Information

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.

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