ANDREA WILSON (NPI# 1447603493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659847150 | Andrea Margaret Wilson | Registered Nurse | 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 | 2018-10-23 |
1912494923 | Andrea Sherrell Wilson | Non-emergency Medical Transport (VAN) | 5339 Arbor Pl, Williamsburg, VA 23188-2469 | 2018-04-16 |
1326590944 | Andrea Wilson | In Home Supportive Care | 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 | 2016-10-31 |
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 |
Street Address |
4115 W ADAMS ST |
City | CHICAGO |
State | IL |
Zip Code | 60624-2702 |
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 |
Find all providers in zip 60624 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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.