TERESA LYNN MYLAN


Address: 1310 W 9th St, Dixon, IL 61021-3363
Phone: 8158261191

TERESA LYNN MYLAN (NPI# 1679033773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679033773
Entity Type Individual
Full Name TERESA LYNN MYLAN
Practice Address 1310 W 9th St
Dixon
IL 61021-3363
Practice Telephone 8158261191
Mailing Telephone 8158261191
Enumeration Date 2019-03-23
Last Update Date 2019-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1310 W 9TH ST
City DIXON
State IL
Zip Code 61021-3363

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699331082 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1600 South Galena Ave, Dixon, IL 61021 2019-05-12
1285135590 Richard Allen Sibert Counselor 325 Il Route 2,dixon Il, Dixon, IL 61021 2018-02-22
1518485432 Madeline Luniewicz Counselor 325 Il-2, Dixon, IL 61021 2017-08-30
1669992566 Nicole Marie Shaffer Specialist/Technologist 650 Reynoldswood Road, Dixon, IL 61021 2017-06-21
1346660446 Lydia Sitter Audiologist 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 2014-04-16
1053600080 Janet I. Malmberg Nurse Practitioner 309 South Galena Ave, Suite 100, Dixon, IL 61021 2011-03-30
1376775262 Kelly L Klein Optometrist 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 2009-08-11
1013119106 Michael Joseph Sarno Physical Therapist 401 E. First Street, Dixon, IL 61021 2007-06-01
1891905600 Thomas G. Gehlbach Internal Medicine 215 E 1st St Ste 111, Dixon, IL 61021 2007-05-23
1699987230 Sameer Jain Family Medicine 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 2007-05-04
Find all providers in zip 61021

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487172755 Sarah Hott Counselor 325 State Route 2, Dixon, IL 61021-9118 2017-09-06
1518485432 Madeline Luniewicz Counselor 325 Il-2, Dixon, IL 61021 2017-08-30
1700260536 Donna Walls Counselor 208 Lincoln Way, Dixon, IL 61021-2019 2015-07-10
1831572312 Ashley Snyder Counselor 325 Il 2, Dixon, IL 61021-8293 2015-07-02
1679962443 Becky Renee Almeida Counselor 22 Solano Dr, Dixon, CA 95620-2826 2015-01-17
1366874737 Tameka Freeman Counselor 1774 Wolverine Rd, Dixon, IL 61021-8712 2013-08-07
1275974578 Elizabeth Ann Cunningham Counselor 144 N Court St, Dixon, IL 61021-1224 2013-07-15
1558610956 Terri L Stephens Counselor 1668 Brandywine Ln, Dixon, IL 61021-8762 2012-08-31
1477801538 Brandi Steinberg Counselor 526 S Peoria Ave, Apt. 2, Dixon, IL 61021-3600 2012-08-21
1447584248 Carly J Willard Counselor 98 S Galena Ave, 2nd Floor, Dixon, IL 61021-3034 2009-09-25
Find all providers in DIXON

Competitor

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City DIXON
Zip Code 61021

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Dataset Information

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.

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