KATHLEEN ANN BLEYAERT (NPI# 1821620345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821620345 |
Entity Type | Individual |
Full Name | KATHLEEN ANN BLEYAERT |
Credential | PHD |
Practice Address |
24238 W. Bayview Rd Antioch IL 60002 |
Practice Telephone | 8493953214 |
Practice Fax Number | 8475141412 |
Mailing Telephone | 8493953214 |
Mailing Fax Number | 8475141412 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
24238 W. BAYVIEW RD |
City | ANTIOCH |
State | IL |
Zip Code | 60002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
1417032715 | Wal-mart Stores, Inc | Technician/Technologist | 475 E. Route 173, Antioch, IL 60002 | 2006-10-26 |
Find all providers in zip 60002 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174147839 | Raquel Patricia Forbes Sanchez | Technician | 5019 Fernbank Way, Antioch, CA 94531-8563 | 2020-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294874 | Paulette Lovelace | Technician | 521 Vicksburg Dr, Belleville, IL 62221-6670 | 2020-10-28 |
1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
1043818446 | Sabrina Marie Williams | Technician | 211 S Lodge St, Shelbyville, IL 62565-1951 | 2020-10-16 |
1124626213 | Tonya Lee Burdell | Technician | 315 S Douglas St, Litchfield, IL 62056-1851 | 2020-10-12 |
1720685704 | Itzayana Rodriguez | Technician | 5037 Carol Ct, Rockford, IL 61108-4157 | 2020-10-02 |
1871108209 | Ashley Marie Dawkins | Technician | 528 Grant Dr, Quincy, IL 62301-7234 | 2020-09-11 |
1104437797 | Stephen T Medford | Technician | 1017 Hartman Ln, O Fallon, IL 62269-7207 | 2020-08-16 |
1528685088 | Maxine Washington | Technician | 2014 S. 17th Ave., Broadview, IL 60155-2906 | 2020-07-01 |
1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
1356962377 | Brenda Lou Isermann | Technician | 406 W South 2nd St, Shelbyville, IL 62565-2114 | 2020-04-30 |
Find all providers with the same taxonomy |
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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.