MR. FREDERICK DOUGLAS QUINN (NPI# 1760631808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760631808 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK DOUGLAS QUINN |
| Credential | LCPC, NCC, DAPA |
| Practice Address |
540 W. Frontage Road Suite 2115 Northfield IL 60093-1291 |
| Mailing Address |
540 W Frontage Rd Suite 2115 Northfield IL 60093-1250 |
| Practice Telephone | 8473377846 |
| Mailing Telephone | 8473377846 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180-005700 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPT OF FIN AND PRO. REGULATION | 180-005700 | 01 |
| IL | REGISTERED PROFESSIONAL SERVICE CORP. | 060-008928 | 01 |
| Street Address |
540 W. FRONTAGE ROAD SUITE 2115 |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463944 | Cheryl L Chiarello | Counselor | Legacy Treatment Services, 561 Tilton Road, Northfield, NJ 08225 | 2019-02-14 |
| 1730458944 | Luann A Miller | Counselor | 1750 Zion Rd Ste 209, Northfield, NJ 08225-1844 | 2011-12-16 |
| 1407132749 | Amy Lynn Yu | Counselor | 141 E Aurora Rd Ste 1, Northfield, OH 44067-2091 | 2011-11-01 |
| 1699912485 | Herbert L Hall | Counselor | 104 Campville Rd, Northfield, CT 06778-2622 | 2009-01-15 |
| 1568642213 | Caralyn L. Graham | Counselor | 1850 Oak St, Suite 250, Northfield, IL 60093-3042 | 2007-11-10 |
| 1104993781 | Nancy Lynn Gregerson | Counselor | 818 College St, Northfield, MN 55057-2538 | 2006-11-29 |
| 1235764895 | Robert Granquist | Counselor | 570 Professional Drive, Northfield, MN 55057 | 2020-03-04 |
| 1093345902 | Angela Ann Rauchwarter | Counselor | 570 Professional Dr, Northfield, MN 55057-2756 | 2020-01-20 |
| 1366913188 | Emily Chalkley | Counselor | 405 Central Ave, Northfield, IL 60093-3006 | 2018-12-06 |
| 1538640099 | Ana Ferraz-castilho | Counselor | 405 Central Ave, Northfield, IL 60093-3006 | 2018-08-23 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
Please comment or provide details below to improve the information on MR. FREDERICK DOUGLAS QUINN.
| 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.