DR. CHRISTOPHER CONLEY STEWART (NPI# 1518214451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518214451 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER CONLEY STEWART |
| Credential | PH.D. |
| Practice Address |
1645 W Jackson Blvd Ste 400 Chicago IL 60612-3244 |
| Mailing Address |
1717 S Prairie Ave Apt 609 Chicago IL 60616-4338 |
| Practice Telephone | 3129422893 |
| Mailing Telephone | 8478589192 |
| Mailing Fax Number | 3129424990 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071008390 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699220178 | Christopher Stewart | Health Educator | 12991 Upton Rd, Bath, MI 48808-9436 | 2016-08-24 |
| 1255529137 | Christopher James Stewart | Contractor | 3351 Salem East Dr Se, Conyers, GA 30013-2381 | 2007-10-04 |
| 1891993564 | Christopher Brian Stewart | Physical Therapist | 8546 Southern Oak Ct, Mobile, AL 36695-7307 | 2007-07-04 |
| 1851379226 | Christopher Wade Stewart | Specialist | 25 North Johnson Street, Coats, NC 27521 | 2006-01-05 |
| 1912514365 | Christopher Stewart | Counselor | 1330 Ala Moana Blvd Ste 1, Honolulu, HI 96814-4262 | 2020-09-29 |
| 1942816681 | Christopher Elisco Stewart | Pharmacist | 2645 State Rd, Cuyahoga Falls, OH 44223 | 2020-09-18 |
| 1366089583 | Christopher Stewart | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2019-12-06 |
| 1316409154 | Christopher Andrew Stewart | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-04-02 |
| 1114498482 | Christopher Stewart | Registered Nurse | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2018-12-16 |
| 1376053462 | Christopher Kent Stewart | Chiropractor | 1359 Ne 35th Ave, Portland, OR 97232-1941 | 2017-10-03 |
| Street Address |
1645 W JACKSON BLVD STE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362216 | Rachel Leah Boutte | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-26 |
| 1811513823 | Shelby Stohlman | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-25 |
| 1710503776 | Jay Sunil Patel | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-24 |
| 1386260453 | Jazmin Nicole Mogavero | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-24 |
| 1578189866 | Taylor R Nicoletti | Student in an Organized Health Care Education/Training Program | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-06-22 |
| 1063032712 | Michelle L Miller | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2020-04-23 |
| 1255994075 | Aviva Ariel-donges | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-17 |
| 1700449659 | Christina Souv Khou | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2019-04-16 |
| 1932669835 | Lauren Zaluda Rynar | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612 | 2019-03-25 |
| 1871084897 | Teresa Lillis | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1306109244 | Courtenay Rourke Ainsworth | Clinical Neuropsychologist | 4726 N Winchester Ave, Unit B, Chicago, IL 60640-4372 | 2012-06-15 |
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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.