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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1310 W 9TH ST |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3363 |
| 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 Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 | ||||
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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.