MR. BRIAN J FAGAN (NPI# 1669013843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669013843 |
| Entity Type | Individual |
| Full Name | MR. BRIAN J FAGAN |
| Practice Address |
310 W Chicago Ave Chicago IL 60654-5106 |
| Practice Telephone | 3129436545 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1740308550 | Brian T Fagan | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-03-27 |
| 1881634210 | Brian D Fagan | Surgery | 373 W 101st Ter, Suite 210, Kansas City, MO 64114-4408 | 2006-06-07 |
| Street Address |
310 W CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124102611 | Family Guidance Centers, Inc. | Clinic/Center | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2006-10-24 |
| 1992346019 | Michael David State | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1548801780 | Sophia Hountalas | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1609427848 | Chelsea Hope Dowling | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1437700689 | Rachel Etshokin | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1255982401 | Chelsea Belinsky | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1285285445 | Anya Ravitz | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1356810477 | Johanna Jelenek | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-11-19 |
| 1972098408 | Gregory James Kulik | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-06-27 |
| 1780172536 | Sarah Pepper | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1710528518 | Gateway Professional Services, PC | Counselor | 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 | 2019-10-02 |
| 1801447552 | Erika Chawla | Counselor | 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 | 2019-09-24 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1255997987 | Austin Hall | Counselor | 2942 W Lake St, Chicago, IL 60612-1924 | 2019-05-17 |
| 1417418914 | Monica Connelly | Counselor | 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 | 2019-03-27 |
| 1336608439 | Columbus Manor | Counselor | 5107 W Jackson Blvd, Chicago, IL 60644-4316 | 2019-03-18 |
| 1972062958 | Patricia B Flaherty | Counselor | 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 | 2019-03-18 |
| Find all providers in CHICAGO | ||||
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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.