GRAND PRAIRIE SERVICES (NPI# 1578018958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578018958 |
| Entity Type | Organization |
| Organization Name | GRAND PRAIRIE SERVICES |
| Practice Address |
67 E 34th St Steger IL 60475-1106 |
| Mailing Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
| Practice Telephone | 7083310500 |
| Practice Fax Number | 7083317590 |
| Mailing Telephone | 7084441012 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | SHARRONNE WARD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7084441012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1909 Cheker Sq, East Hazel Crest, IL 604291442 | 7084441012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154896371 | Grand Prairie Services | Clinic/Center | 747 Red Oak Ln, University Park, IL 60484-2965 | 2018-10-04 |
| 1053897736 | Grand Prairie Services | Clinic/Center | 759 Burr Oak Ln, University Park, IL 60484-2865 | 2018-07-16 |
| 1932526548 | Grand Prairie Services | Clinic/Center | 404 Sandburg St, Park Forest, IL 60466-1106 | 2014-03-20 |
| 1417132093 | Grand Prairie Services | Clinic/Center | 73 Westwood Dr, Park Forest, IL 60466-1414 | 2008-01-02 |
| 1730363458 | Grand Prairie Services | Clinic/Center | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2007-12-18 |
| 1093870602 | Grand Prairie Services | Clinic/Center | 136 - 142 1 2 S. Clinton, Bradley, IL 60915 | 2006-12-26 |
| 1063576502 | Grand Prairie Services | Clinic/Center | 67 E 34th St, Steger, IL 60475-1106 | 2006-12-20 |
| 1578627014 | Grand Prairie Services | Clinic/Center | 202 Westwood Dr, Park Forest, IL 60466-1617 | 2006-12-20 |
| 1770647059 | Grand Prairie Services | Clinic/Center | 561 Saratoga Dr, Chicago Heights, IL 60411-1914 | 2006-12-20 |
| 1598829020 | Grand Prairie Services | Clinic/Center | 854 Burnham Ave, Calumet City, IL 60409-4539 | 2006-12-20 |
| Street Address |
67 E 34TH ST |
| City | STEGER |
| State | IL |
| Zip Code | 60475-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576502 | Grand Prairie Services | Clinic/Center | 67 E 34th St, Steger, IL 60475-1106 | 2006-12-20 |
| 1598377590 | Angela Bailey | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2020-08-20 |
| 1073121349 | Navarone Little | Licensed Practical Nurse | 67 E 34th St, Steger, IL 60475-1106 | 2020-07-22 |
| 1437775830 | Deshon Mcduffie | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2020-06-22 |
| 1366070377 | Ruth Stone | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2020-03-27 |
| 1710521513 | Alisa Brown | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2019-11-05 |
| 1659930550 | Vivian Hill | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2019-06-13 |
| 1386100840 | Tamela Harris Ali | Counselor | 67 E 34th St, Steger, IL 60475-1106 | 2019-02-20 |
| 1285012302 | Danielle Wright | Behavioral Analyst | 67 E 34th St, Steger, IL 60475-1106 | 2015-05-08 |
| 1003210352 | Sharnay Stegall | Behavioral Analyst | 67 E 34th St, Steger, IL 60475-1106 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989717 | Appointments Moving Transporation | Non-emergency Medical Transport (VAN) | 309 W 35th Street Unit 317, Steger, IL 60475 | 2018-04-17 |
| 1912070418 | John Charles Grabow | Dentist | 3112 Union Avenue, Steger, IL 60475 | 2006-11-15 |
| 1295891695 | Village of Steger | Ambulance | 35 W 34th St, Steger, IL 60475-1013 | 2006-12-29 |
| 1700953817 | Peter D. Sotiropoulos, Au.d. and Assoc, PC | Audiologist | 29 W 34th St, Steger, IL 60475-1016 | 2006-11-30 |
| 1720613284 | Connie Hughley | Social Worker | 3108 Peoria St, Steger, IL 60475-1037 | 2020-03-05 |
| 1336683697 | Debra Petroni | Registered Nurse | 3130 Peoria St, Steger, IL 60475-1037 | 2016-12-06 |
| 1609262625 | Nicole Cosino | Massage Therapist | 3021 Sangamon St, Steger, IL 60475-1044 | 2015-04-07 |
| 1649362443 | Shyamal Bose | Internal Medicine | 3030 Chicago Rd, 3030 Chicago Road, Steger, IL 60475-1055 | 2006-09-29 |
| 1154814663 | Ebony Cheriece Williams | Nurse Practitioner | 3030 Chicago Rd, Steger, IL 60475-1055 | 2018-06-08 |
| 1811496979 | Visiting Physicians Home Care S.c. | Internal Medicine | 3030 Chicago Rd, Steger, IL 60475-1055 | 2018-02-05 |
| Find all providers in zip 60475 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRAND PRAIRIE SERVICES.
| 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.