DR. NYDIA LELIA WELLES


Address: 4019 Church St, Skokie, IL 60076-1773
Phone: 8476763440

DR. NYDIA LELIA WELLES (NPI# 1780885772) 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) 1780885772
Entity Type Individual
Full Name DR. NYDIA LELIA WELLES
Other Name NYDIA LELIA CANOVAS WELLES
Credential PHD
Practice Address 4019 Church St
Skokie
IL 60076-1773
Practice Telephone 8476763440
Practice Fax Number 8476763486
Mailing Telephone 8476763440
Mailing Fax Number 8476763486
Enumeration Date 2007-05-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS AND BLUE SHIEL 01673394 01

Office Location

Street Address 4019 CHURCH ST
City SKOKIE
State IL
Zip Code 60076-1773

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184258808 Cleminson Psychological Services, LLC Psychologist 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 2020-03-03
1427575380 Heather Stephenson Psychologist 9501 Lawler Ave, Skokie, IL 60077-1274 2017-08-23
1376071886 Marla Debra Miller Psychologist 4040 Enfield Ave, Skokie, IL 60076-1934 2017-05-28
1790152635 Jessica Ellen Dubnow Psychologist 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 2015-08-26
1770830275 David N. Gershan Psychologist 8053 Kolmar Ave, Skokie, IL 60076-3114 2012-08-14
1326326778 Patricia S Cochran Psychologist 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 2011-08-02
1962719013 Paul Thomas Riel Psychologist 8540 Leclaire St, Skokie, IL 60077-2135 2010-09-10
1750569224 Mary Frances Schneider Psychologist 5323 Galitz St, Skokie, IL 60077-2712 2008-02-06
1598944530 Laura S. Trakhtman Psychologist 8936 Niles Center Rd # D, Skokie, IL 60076-1847 2007-10-26
1023229986 Heidi Hamernik, Ph.d. P.C. Psychologist 8707 Skokie Blvd., Ste. 210, Skokie, IL 60077-2272 2007-05-24
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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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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