DENNIS BOURNE (NPI# 1538722079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538722079 |
| Entity Type | Individual |
| Full Name | DENNIS BOURNE |
| Practice Address |
3860 W Ogden Ave Chicago IL 60623-2460 |
| Mailing Address |
5207 S Drexel Ave Apt S2a Chicago IL 60615-3719 |
| Practice Telephone | 8725883000 |
| Mailing Telephone | 2024863203 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.011443 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
3860 W OGDEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517411 | Thomas D Huggett | Family Medicine | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2005-09-01 |
| 1730797754 | Carly Elaine Hodge | Student in an Organized Health Care Education/Training Program | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-07-15 |
| 1619504586 | Elisabeth D Lucien | Social Worker | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-03-23 |
| 1396386850 | Matthew Hussey | Psychologist | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-10-04 |
| 1396391926 | Nora Hernandez | Nurse Practitioner | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-08-09 |
| 1407412745 | Ying Chun Mei | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-05-13 |
| 1346709052 | Jeneal M Duff | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-03-13 |
| 1003380817 | Anna Tornquist | Counselor | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-01-15 |
| 1689144164 | Angela Mary Thomas | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623 | 2018-11-28 |
| 1255801759 | Nicole Milano | Social Worker | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.