KATHLEEN ANN BLEYAERT


Address: 24238 W. Bayview Rd, Antioch, IL 60002
Phone: 8493953214

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 24238 W. BAYVIEW RD
City ANTIOCH
State IL
Zip Code 60002

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174147839 Raquel Patricia Forbes Sanchez Technician 5019 Fernbank Way, Antioch, CA 94531-8563 2020-05-29

Providers in the same taxonomy and state

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
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Competitor

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City ANTIOCH
Zip Code 60002

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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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