ANGELA J CONNOR


Address: 1724 E Patmore St, Diamond, IL 60416-6031
Phone: 8155826818

ANGELA J CONNOR (NPI# 1780934372) 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) 1780934372
Entity Type Individual
Full Name ANGELA J CONNOR
Credential LPC
Practice Address 1724 E Patmore St
Diamond
IL 60416-6031
Practice Telephone 8155826818
Mailing Telephone 8155826818
Enumeration Date 2012-09-11
Last Update Date 2012-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178007601 IL Behavioral Health & Social Service Providers

Other Providers ANGELA CONNOR

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Office Location

Street Address 1724 E PATMORE ST
City DIAMOND
State IL
Zip Code 60416-6031

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1467487975 Roman M Smyk Surgery 460 N Broadway St, Coal City, IL 60416-1045 2006-07-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City DIAMOND
Zip Code 60416

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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