NATHAN PATRICK LAGACY (NPI# 1528420155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528420155 |
| Entity Type | Individual |
| Full Name | NATHAN PATRICK LAGACY |
| Practice Address |
3650 W. 183rd St. Homewood IL 60430 |
| Mailing Address |
62 W. Washington St. Joliet IL 60432 |
| Practice Telephone | 7089575042 |
| Practice Fax Number | 7082062044 |
| Mailing Telephone | 8157224384 |
| Mailing Fax Number | 8157224390 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180010099 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3650 W. 183RD ST. |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| 1700288230 | Cassandra Newson | Early Intervention Provider Agency | 2447 W 175th St, Homewood, IL 60430 | 2014-09-16 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392274 | Amber Drozd | Counselor | 18154 Martin Ave Ste 260430, Homewood, IL 60430-2139 | 2020-06-30 |
| 1790306611 | Emalee B. Kay | Counselor | 1628 Linden Rd, Homewood, IL 60430-1823 | 2020-05-01 |
| 1508487521 | Marisha Smith | Counselor | 18110 San Diego Ave, Homewood, IL 60430-1522 | 2020-04-30 |
| 1841825833 | True Nature Integrative Health | Counselor | 2023 Ridge Rd Unit 2sw, Homewood, IL 60430-1856 | 2020-03-10 |
| 1699334037 | Patricia Rae Ahern | Counselor | 18154 Martin Ave Ste 2, Homewood, IL 60430-2155 | 2019-06-10 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1205349644 | Phillips Counseling Practice, LLC | Counselor | 3324 Independence Dr # 100, Homewood, AL 35209-5602 | 2017-11-07 |
| 1861923567 | Kre Behavioral Health Services LLC | Counselor | 930 175th St, Homewood, IL 60430-2039 | 2017-03-23 |
| 1023554821 | Shoshanah Baht Yehudah | Counselor | 18220 Harwood Ave Ste 4c, Homewood, IL 60430-2151 | 2017-01-17 |
| 1447703475 | Sandra Meadows | Counselor | 18205 Hart Dr # U3a, Homewood, IL 60430-2569 | 2016-07-26 |
| Find all providers in HOMEWOOD | ||||
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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.