STACEY MARIE ISROW (NPI# 1649366063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649366063 |
| Entity Type | Individual |
| Full Name | STACEY MARIE ISROW |
| Credential | BS/PSYC, DT |
| Practice Address |
1799 Kings Gate Ln Crystal Lake IL 60014-2906 |
| Practice Telephone | 8152767786 |
| Practice Fax Number | 8157881321 |
| Mailing Telephone | 8152767786 |
| Mailing Fax Number | 8157881321 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1799 KINGS GATE LN |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679031223 | Jennifer Joann Dienelt | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2019-03-02 |
| 1134642796 | Emily Jeanne Winters | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2017-07-25 |
| 1831540228 | Christine Hall | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-27 |
| 1154771863 | Deisy Maldonado | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-14 |
| 1124477435 | Lisa Bieze | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-07 |
| 1851705123 | Elizabeth Ann Kimura | Music Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2014-06-16 |
| 1275979536 | Emily Rae Seymour | Music Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2013-05-14 |
| 1932460144 | Stephanie Ranae Purintun | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2012-06-04 |
| 1134401938 | Amy Michelle Vanroekel | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2011-09-16 |
| 1992087852 | Danielle Rene Jakes | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406832 | Karen L Ross | Specialist | 411 Northwest Professional Center, Suite B, Crystal Lake, IL 60014 | 2008-08-04 |
| 1053425884 | Karol Rosner | Specialist | 390 E Congress Pkwy Ste C, Nephrology Associates of Northern Illinois, Crystal Lake, IL 60014-6202 | 2006-08-18 |
| 1265831630 | Victor Rico Sr. | Specialist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2014-08-21 |
| 1124376736 | Illinois Spine Institute,s.c. | Specialist | 360 Station Dr, Suite 200, Crystal Lake, IL 60014-7978 | 2012-08-29 |
| 1194097725 | Megan Janik | Specialist | 1095 Pingree Rd Ste 119, Crystal Lake, IL 60014-1726 | 2012-01-27 |
| 1164638342 | Rachel Ellen Vezeau | Specialist | 5150 Northwest Hwy, Crystal Lake, IL 60014-8058 | 2007-05-15 |
| 1376759605 | Richard E. Lind, Md Sc | Specialist | 690 E Terra Cotta Ave, Siute A, Crystal Lake, IL 60014-3605 | 2007-05-15 |
| 1578695151 | Barrington Health Care for Women | Specialist | 5911 Northwest Hwy, Suite 201, Crystal Lake, IL 60014-8065 | 2007-03-10 |
| 1710034400 | Crystal Lake Orthopaedic Surgery & Sports Medicine, Ltd | Specialist | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2007-01-04 |
| 1346259405 | Global Care Sc | Specialist | 360 Station Drive, Suite 120, Crystal Lake, IL 60014-7994 | 2006-08-07 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.