MR. PRESTON FAIRCHILD JR. (NPI# 1568856672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568856672 |
| Entity Type | Individual |
| Full Name | MR. PRESTON FAIRCHILD JR. |
| Credential | MSW, QMHP |
| Practice Address |
1023 Burlington Ave Western Springs IL 60558-1516 |
| Practice Telephone | 7082883898 |
| Mailing Telephone | 7082883898 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
1023 BURLINGTON AVE |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861503773 | Jenifer D Verber | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2006-08-31 |
| 1811502586 | Sage Antony Benner | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2020-09-10 |
| 1609481480 | Rebecca Anne Goldsmith | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2020-09-09 |
| 1275150617 | Sonia Ramos-perez | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2020-07-01 |
| 1437783081 | Virginia Clara Westfall | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2020-02-22 |
| 1083258305 | Andrea Medina | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-30 |
| 1235772005 | Tarina Riley | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-23 |
| 1306489422 | Julie Hadler | Social Worker | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-21 |
| 1801438163 | Kathleen Marie Muloski | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-08 |
| 1477103653 | Gabriella Stone | Social Worker | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891210951 | Alexis Burks | Respite Care | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2017-08-10 |
| 1962896456 | Mayra Teresa Galarza Acosta | Respite Care | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2015-03-24 |
| 1932592813 | Philip Andrew Legan | Respite Care | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2015-03-16 |
| 1265825202 | Cory Grad | Respite Care | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692783 | Tutty Living Day By Day LLC | Respite Care | 455 Lakelawn Blvd, Aurora, IL 60506-2270 | 2019-04-30 |
| 1376060020 | Illinois West Central Home Care Corp | Respite Care | 8 S Main St Ste 202, Canton, IL 61520-2680 | 2017-08-24 |
| 1174048599 | I Care Too | Respite Care | 3009 W Washington Blvd, Chicago, IL 60612-1838 | 2017-08-07 |
| 1407253396 | Real Connections LLC | Respite Care | 6031 N Kenmore Ave, Chicago, IL 60660-5004 | 2014-11-21 |
| 1144623208 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 28w444 Main St, Warrenville, IL 60555-3343 | 2014-10-03 |
| 1386047447 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 41 N Park Blvd, Glen Ellyn, IL 60137-5713 | 2014-10-03 |
| 1740683812 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 5110 Grand Ave, Gurnee, IL 60031-1813 | 2014-10-03 |
| 1043621923 | Riverwalk Adult Day Services | Respite Care | 305 Jackson Ave, Naperville, IL 60540-5204 | 2014-05-14 |
| 1447695853 | Ecumenical Support Services for The Elderly | Respite Care | 515 S Wheaton Ave, Wheaton, IL 60187-5213 | 2013-04-30 |
| 1013241066 | Comfort Companion Choice Inc | Respite Care | 818 Harrison St, Suite 206, Oak Park, IL 60304-1144 | 2009-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
Please comment or provide details below to improve the information on MR. PRESTON FAIRCHILD JR..
| 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.