MR. MICHAEL L MALONE (NPI# 1669744579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669744579 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL L MALONE |
| Credential | BS |
| Practice Address |
2025 Washington St Waukegan IL 60085-5131 |
| Practice Telephone | 8473601020 |
| Practice Fax Number | 8473601065 |
| Mailing Telephone | 8473601020 |
| Mailing Fax Number | 8473601065 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133346 | Michael William Malone II | Physician Assistant | 2372 Southside Rd, Lincolnton, NC 28092-9386 | 2020-01-24 |
| 1730651977 | Michael A Malone | Counselor | 1217 Springhealth Ct, St Augustine, FL 32092-2460 | 2018-12-28 |
| 1720568082 | Michael Malone | Physical Therapist | 1011 E Wintergreen Rd, Cedar Hill, TX 75104-1411 | 2018-08-16 |
| 1093953937 | Michael C Malone | Physical Therapist | 5160 Landing View Dr, Granite Falls, NC 28630-8750 | 2009-01-30 |
| 1073766291 | Michael Wayne Malone | Dentist | 800 North State Street, Rolla, MO 65401 | 2008-10-31 |
| 1518036912 | Michael T Malone IIi | Chiropractor | 437 Ne Main St, Estacada, OR 97023-8528 | 2006-11-07 |
| 1952480725 | Michael Patrick Malone | Counselor | 10632 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-6263 | 2006-11-03 |
| 1164508263 | Michael Malone | Family Medicine | 5159 S. Ashland Ave, Chicago, IL 60609-5322 | 2006-10-31 |
| 1578679478 | Michael Daniel Malone | Marriage & Family Therapist | 4275 Lemon Street, Suite 205, Riverside, CA 92501 | 2006-08-22 |
| 1285671479 | Michael J Malone | Urology | 1 Lyons Street, Dedham Medical Associates, Dedham, MA 02026 | 2006-05-31 |
| Street Address |
2025 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174709810 | Independence Center, Inc. | Case Management | 2025 Washington St, Waukegan, IL 60085-5131 | 2008-01-11 |
| 1316547656 | Keli R Poppe | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-27 |
| 1780283184 | Justin Kimbel | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-19 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1649895699 | Amber Hamby | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679297 | Gina Marie Torre | Counselor | 2505 Washington St., Waukegan, IL 60085-6008 | 2020-08-14 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1013520873 | Steven C Poland | Counselor | 415 Washington St Ste 200, Waukegan, IL 60085-5564 | 2020-08-30 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1346850575 | Andrea Leilani Kowitz | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-08-03 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1548892417 | Akilah Yates | Counselor | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-02-10 |
| 1417587544 | Kaitlynn Elizabeth Martin | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-01-16 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| Find all providers in WAUKEGAN | ||||
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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.