GRACEMARY ROSENTHAL (NPI# 1770606493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770606493 |
| Entity Type | Individual |
| Full Name | GRACEMARY ROSENTHAL |
| Credential | LCSW |
| Practice Address |
19740 Governors Hwy Suite 117 Flossmoor IL 60422-2084 |
| Mailing Address |
20 N Clark St Suite 2650 Chicago IL 60602-4109 |
| Practice Telephone | 8662965262 |
| Practice Fax Number | 7089579588 |
| Mailing Telephone | 8662965262 |
| Mailing Fax Number | 7089579588 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
19740 GOVERNORS HWY SUITE 117 |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154744985 | Marguerite Sinigal-johnson | Speech-Language Pathologist | 19740 Governors Hwy, Suite 118, Flossmoor, IL 60422-2084 | 2014-01-30 |
| 1235571555 | Kelli Buckner | Speech-Language Pathologist | 19740 Governors Hwy, Ste 118, Flossmoor, IL 60422-2084 | 2013-07-28 |
| 1053751172 | Lakeisha Kirby | Counselor | 19740 Governors Hwy, Ste 118, Flossmoor, IL 60422-2084 | 2013-07-03 |
| 1144576430 | Iyuna Harris | Speech-Language Pathologist | 19740 Governors Hwy, Ste 118, Flossmoor, IL 60422-2084 | 2012-07-24 |
| 1982973475 | Jennifer Sadek | Occupational Therapist | 19740 Governors Hwy, Ste 118, Flossmoor, IL 60422-2084 | 2011-12-29 |
| 1295062883 | Sherri L Larson | Counselor | 19740 Governors Hwy, Suite 117, Flossmoor, IL 60422-2084 | 2009-11-03 |
| 1326263237 | Davida Rosenbloom | Counselor | 19740 Governors Hwy, Suite 117, Flossmoor, IL 60422-2084 | 2007-04-16 |
| 1760505143 | Nikki Nelson | Counselor | 19740 Governors Hwy, Suite 117, Flossmoor, IL 60422-2084 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411244 | Farah Harris | Counselor | 19624 Governors Hwy Ste 4, Flossmoor, IL 60422-2086 | 2013-04-12 |
| 1508470048 | Kristen Efantis | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-02 |
| 1225642762 | Shannon Ristedt | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-02 |
| 1548874241 | Amani Davis | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-01 |
| 1487291738 | Carole Holliday | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-12-05 |
| 1366089625 | Rolanda Bailey-clark | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-12-05 |
| 1841840360 | Sarah Seebold | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1477103992 | Kathryn Panzica | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1003466533 | Sotira Vamvouris | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1811547342 | Shawna Brough | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| Find all providers in FLOSSMOOR | ||||
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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.