MR. TAYLOR NEWENDORP


Address: 6160 N Cicero Ave, Suite 304, Chicago, IL 60646-4312
Phone: 7739329597

MR. TAYLOR NEWENDORP (NPI# 1497046338) 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) 1497046338
Entity Type Individual
Full Name MR. TAYLOR NEWENDORP
Credential M.A., LCPC
Practice Address 6160 N Cicero Ave
Suite 304
Chicago
IL 60646-4312
Practice Telephone 7739329597
Mailing Telephone 7739329597
Enumeration Date 2011-04-26
Last Update Date 2015-09-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 178.007274 IL Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
180.007907 IL Behavioral Health & Social Service Providers

Office Location

Street Address 6160 N CICERO AVE
SUITE 304
City CHICAGO
State IL
Zip Code 60646-4312

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1750770525 David Ferenciak Counselor 6160 N Cicero Ave, Suite 304, Chicago, IL 60646-4312 2015-01-17
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1174828396 In Balance Psychotherapy Ltd Social Worker 6160 N Cicero Ave, Suite 605, Chicago, IL 60646 2011-01-19
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1659607349 Apex Home Health Services Inc Home Health 6160 N Cicero Ave, Suite 310, Chicago, IL 60646-4312 2009-10-30
1508999723 Joyce Shatney Social Worker 6160 N Cicero Ave, Suite 605, Chicago, IL 60646-4312 2007-03-14
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Providers in the same zip code

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60646

Improve Information

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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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