GRUNDY COUNTY HEALTH DEPARTMENT (NPI# 1477686780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477686780 |
| Entity Type | Organization |
| Organization Name | GRUNDY COUNTY HEALTH DEPARTMENT |
| Practice Address |
1320 Union St Morris IL 60450-2426 |
| Practice Telephone | 8159413404 |
| Practice Fax Number | 8159412389 |
| Mailing Telephone | 8159413404 |
| Mailing Fax Number | 8159412389 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | MICHELLE L PRUIM (ADMINISTRATOR) |
| Authorized Official Telephone | 8159413113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093849481 | Grundy County Health Department | Public Health or Welfare | 1716 Lincoln St, Trenton, MO 64683-1584 | 2007-03-15 |
| 1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| 1912156191 | Grundy County Health Department | Community/Behavioral Health | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRUNDY COUNTY HEALTH DEPARTMENT | 1320 Union St, Morris, IL 60450-2426 |
| Street Address |
1320 UNION ST |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787953 | Vessela Andreeva | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1184272908 | Sarah Beth Ezell | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1073161899 | Robin Cook | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1437707106 | Melissa Wasko | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1902453749 | Joann Feldges | Registered Nurse | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1447807284 | Kellie Kennedy | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1952958704 | Amber Boeschel | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
| 1881081685 | Omar S Waqhar | Psychiatry & Neurology | 1320 Union St, Morris, IL 60450-2426 | 2015-04-20 |
| 1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 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.