STICKNEY PUBLIC HEALTH DISTRICT (NPI# 1578765426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578765426 |
| Entity Type | Organization |
| Organization Name | STICKNEY PUBLIC HEALTH DISTRICT |
| Practice Address |
5635 State Rd Burbank IL 60459-2051 |
| Practice Telephone | 7084249200 |
| Practice Fax Number | 7084995427 |
| Mailing Telephone | 7082378918 |
| Mailing Fax Number | 7082378997 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | MR. CHRISTOPHER GRUNOW (HEALTH DIRECTOR) |
| Authorized Official Telephone | 7084249200 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457649246 | Stickney Public Health District | Clinic/Center | 6721 40th St, Stickney, IL 60402-4174 | 2011-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STICKNEY PUBLIC HEALTH DISTRICT | 5635 State Rd, Oak Lawn, IL 60459-2051 |
| Street Address |
5635 STATE RD |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144399593 | Andrew L. Marchese Jr. | Dentist | 5635 State Rd, Burbank, IL 60459-2051 | 2006-11-07 |
| 1164043501 | Pillars Community Health | Clinic/Center | 5635 State Rd, Burbank, IL 60459-2051 | 2020-04-27 |
| 1154868206 | Stickney Public Health District, Behavioral Health Division | Clinic/Center | 5635 State Rd, Burbank, IL 60459-2051 | 2017-01-27 |
| 1689087918 | Julia Tarnovsky | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2014-06-04 |
| 1780026161 | Sylvia B Rabianski | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2013-07-25 |
| 1750645842 | William J. Mcnichols | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2012-07-03 |
| 1972862282 | Amy B Sparacino | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2012-05-07 |
| 1003113853 | Deana M Coakley | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2011-02-14 |
| 1326222647 | Eloisa Rosales | Counselor | 5635 State Rd, Burbank, IL 60459-2051 | 2007-12-21 |
| 1295891307 | Maureen Ann Nitsche | Registered Nurse | 5635 State Rd, Burbank, IL 60459-2051 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
| 1528130150 | County of Washington | Clinic/Center | 177 S Washington St, Nashville, IL 62263-1430 | 2006-11-15 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1851394829 | County of Henry | Clinic/Center | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2005-05-24 |
| 1609311695 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433-2799 | 2016-12-29 |
| 1841613783 | Will County Health Dept | Clinic/Center | 323 Quadrangle Dr, Bolingbrook, IL 60440 | 2014-01-29 |
| 1184051138 | Walgreen Co./ill. | Clinic/Center | 230 W Chrysler Dr, Belvidere, IL 61008-6304 | 2013-10-07 |
| 1871855213 | County of Mchenry Illinois | Clinic/Center | 2200 N Seminary Ave, Woodstock, IL 60098-2637 | 2012-06-12 |
| 1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| 1598921025 | County of Woodford | Clinic/Center | 1831 S Main St, Eureka, IL 61530-1707 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STICKNEY PUBLIC HEALTH DISTRICT.
| 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.