SHELLIE LYNN WILLET-KRUCHKO (NPI# 1548356843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548356843 |
| Entity Type | Individual |
| Full Name | SHELLIE LYNN WILLET-KRUCHKO |
| Other Name | SHELLIE LYNN WILLET |
| Credential | PHD |
| Practice Address |
24w788 75th St Naperville IL 60565 |
| Mailing Address |
24w788 75th St Naperville IL 60565-1684 |
| Practice Telephone | 6307781055 |
| Mailing Telephone | 6307781055 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071005578 | IL | Behavioral Health & Social Service Providers |
| Street Address |
24W788 75TH ST |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316044860 | Stacey Mcginn Hurst | Counselor | 24w788 75th St, Naperville, IL 60565-1684 | 2006-09-19 |
| 1457998056 | Erin Leyba, L.c.s.w., Ph.d., LLC | Clinic/Center | 24w788 75th St, Naperville, IL 60565-1684 | 2019-12-03 |
| 1932648136 | Integrations, Inc | Psychologist | 24w788 75th St, Naperville, IL 60565-1684 | 2017-02-21 |
| 1275978082 | Dr Lucia Licavoli Phd PC | Psychologist | 24w788 75th St, Naperville, IL 60565 | 2013-05-07 |
| 1427376110 | Julia Marie Liebich | Chiropractor | 24w788 75th St, Naperville, IL 60565-1684 | 2010-05-05 |
| 1992946156 | Lucia Teresa Licavoli | Psychologist | 24w788 75th St, Naperville, IL 60565 | 2009-03-18 |
| 1528112133 | Amy Hanson-akins | Social Worker | 24w788 75th St, Naperville, IL 60565-1684 | 2007-01-22 |
| 1114089109 | Justin M Coop | Chiropractor | 24w788 75th St, Naperville, IL 60565 | 2006-12-15 |
| 1679642656 | Holly A Harris | Social Worker | 24w788 75th St, Naperville, IL 60565-1684 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879225 | Rck Medical Services | Electrodiagnostic Medicine | 1837 Auburn Ave, Naperville, IL 60565 | 2018-07-30 |
| 1689058976 | Allison Hilger | Speech-Language Pathologist | 1633 Tulane Drive, Naperville, IL 60565 | 2015-07-16 |
| 1699179010 | Restoration Health & Chiropractic | Chiropractor | 365 E. Bailey Rd., Naperville, IL 60565 | 2014-10-14 |
| 1255612396 | Jennifer Jane Sommer | Dental Hygienist | 931 W. 75th St. #107, Center for Dentistry, Naperville, IL 60565 | 2011-09-02 |
| 1538455233 | Walgreen Co | Pharmacy | 1303 Wehrli Rd, Naperville, IL 60565 | 2011-06-22 |
| 1255623914 | Brady Drew Mcdaniel | Chiropractor | 519 West 87th Street, Naperville, IL 60565 | 2011-05-12 |
| 1821318759 | Mary Jane Verik | Dietitian, Registered | 2029 Mustang Dr., Naperville, IL 60565 | 2010-06-02 |
| 1184879942 | Kristie M. Johnson | Counselor | 1568 Clyde Dr., Naperville, IL 60565 | 2008-11-20 |
| 1063619302 | Rosita E Kilty | Counselor | 2272 95th Street, Suite 305, Naperville, IL 60565 | 2007-06-29 |
| 1922138544 | Richard Joseph Reid | Dentist | 523 W 87th St, Naperville, IL 60565 | 2007-03-06 |
| Find all providers in zip 60565 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1194366930 | Miranda Meadows | Psychologist | 121 N Washington St Ste 2n, Naperville, IL 60540-4558 | 2019-10-02 |
| 1750854204 | Melissa Geraghty | Psychologist | 750 E Diehl Rd Ste 127, Naperville, IL 60563-2384 | 2019-01-08 |
| 1659852044 | Jesse R Fleck | Psychologist | 212 Elmwood Dr, Naperville, IL 60540-7507 | 2018-08-24 |
| 1174018873 | Debra Gomez and Associates, Inc. | Psychologist | 1607 N Aurora Rd Ste 204, Naperville, IL 60563-2786 | 2018-06-25 |
| 1225491848 | Ashley Marie Rolnik | Psychologist | 3735 Mandeville Ln, Naperville, IL 60564-6130 | 2016-03-31 |
| 1205253762 | Victoria Marks | Psychologist | 475 River Bend Rd Ste 400a, Naperville, IL 60540-5263 | 2014-03-23 |
| 1518208560 | Kyle A Weber Phd LLC | Psychologist | 1555 Naperville Wheaton Road, Suite 201, Naperville, IL 60563 | 2013-03-14 |
| 1255679544 | David Edward Nowak | Psychologist | 143 Pier Ct, Naperville, IL 60565-1476 | 2013-01-22 |
| 1396094959 | Matter Clinical Services, P.C. | Psychologist | 475 River Bend Road, Suite 304, Naperville, IL 60540 | 2012-08-29 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60565 |
Please comment or provide details below to improve the information on SHELLIE LYNN WILLET-KRUCHKO.
| 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.