PATRICK MIRANDA (NPI# 1831790617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831790617 |
| Entity Type | Individual |
| Full Name | PATRICK MIRANDA |
| Practice Address |
411 W River Rd Elgin IL 60123-1570 |
| Practice Telephone | 2243474014 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178016243 | IL | Behavioral Health & Social Service Providers |
| Street Address |
411 W RIVER RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290124 | Nicholas W. Marchand | Counselor | 411 W River Rd, Elgin, IL 60123-1570 | 2018-09-25 |
| 1982201489 | Karen Krucek | Registered Nurse | 411 W River Rd, Elgin, IL 60123-1570 | 2020-10-07 |
| 1114498813 | Footprints Elgin Il LLC | Meals | 411 W River Rd, Elgin, IL 60123-1570 | 2018-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949782 | Alexusia Dickerson | Counselor | 115 Catawba Hill Dr, Elgin, SC 29045-7140 | 2020-07-09 |
| 1902445075 | Eiliana M Silva | Counselor | 75 Market St Ste 12, Elgin, IL 60123-5061 | 2020-01-06 |
| 1093290124 | Nicholas W. Marchand | Counselor | 411 W River Rd, Elgin, IL 60123-1570 | 2018-09-25 |
| 1659855856 | Susan Virginia Raica | Counselor | 420 Wing Street,suite3, Elgin, IL 60123-6012 | 2018-09-24 |
| 1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
| 1699221440 | Stanley Glenn Bell | Counselor | 101 W 1st St, Suite F, Elgin, TX 78621-2659 | 2016-08-31 |
| 1659753002 | Piper Stratton | Counselor | 2000 Larkin Ave Ste 202, Elgin, IL 60123-5879 | 2015-06-22 |
| 1679901508 | Meghan Elizabeth Barrett | Counselor | 1845 Grandstand Pl Ste 200, Elgin, IL 60123-4983 | 2013-11-01 |
| 1396089538 | Michaela Sasheva Long | Counselor | 2362 South St Apt E, Elgin, IL 60123-4600 | 2012-11-10 |
| 1427306042 | Eric Mitchell Porter | Counselor | 452 N Mclean Blvd, Elgin, IL 60123-3273 | 2012-08-29 |
| Find all providers in ELGIN | ||||
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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.