MS. CHERYL DENISE BRISTOR (NPI# 1518974302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518974302 |
| Entity Type | Individual |
| Full Name | MS. CHERYL DENISE BRISTOR |
| Credential | LCSW, CADC |
| Practice Address |
3637 W 125th St Alsip IL 60803-1082 |
| Mailing Address |
Po Box 587782 Alsip IL 60803-7782 |
| Practice Telephone | 7088241446 |
| Practice Fax Number | 7088241446 |
| Mailing Telephone | 7088241446 |
| Mailing Fax Number | 7088241446 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
13907 | IL | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
3637 W 125TH ST |
| City | ALSIP |
| State | IL |
| Zip Code | 60803-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553748 | Malcolm Brown | Psychologist | 176 N Leclaire Ave, Chicago, IL 60644-3413 | 2018-09-25 |
| 1295226736 | Springpsych Services LLC | Psychologist | 30 N Michigan Ave Ste 529, Chicago, IL 60602-3491 | 2018-05-21 |
| 1265944029 | Jeanette Simon, Psy.d., C.a.d.c., LLC | Psychologist | 1100 Lake St Ste 210b, Oak Park, IL 60301-1015 | 2017-11-01 |
| 1962663120 | Heartland Alliance Health | Psychologist | 1207 W Leland, Chicago, IL 60640-6043 | 2008-06-20 |
| 1548284748 | Richard H. Hunter | Psychologist | 10202 Briggs Rd, Marion, IL 62959-5844 | 2006-07-27 |
| 1174014625 | Robert Scott Waller | Psychologist | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-05-21 |
| 1215465893 | All Medical, Inc. | Psychologist | 6412 27th St, Berwyn, IL 60402-2755 | 2017-05-26 |
| 1710364716 | Recovery Partners, P.C. | Psychologist | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-04-29 |
| 1922497429 | Robin Leigh Zoeller Pullman | Psychologist | 2570 Foxfield Rd Ste 107, Saint Charles, IL 60174-1406 | 2015-01-21 |
| 1457773418 | Integrative Psychological Services of Chicago, Inc. | Psychologist | 2153 W Belmont Ave, Unit 1, Chicago, IL 60618-7879 | 2014-01-10 |
| 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.