MISS JESSICA SUZANNE BROCK (NPI# 1851846802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851846802 |
| Entity Type | Individual |
| Full Name | MISS JESSICA SUZANNE BROCK |
| Credential | M.S. |
| Practice Address |
180 Hansen Ct Wood Dale IL 60191-1121 |
| Practice Telephone | 6305958200 |
| Practice Fax Number | 6305958282 |
| Mailing Telephone | 6305958200 |
| Mailing Fax Number | 6305958282 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
242004127 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356909360 | Jessica Beth Brock | Early Intervention Provider Agency | 42 Gwendolyn Pl, East Islip, NY 11730-3220 | 2019-06-04 |
| 1902125024 | Jessica C Brock | Physician Assistant | Endocrinology Clinic, 740 S. Limestone, Lexington, KY 40536-0284 | 2010-05-28 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1376157578 | Jessica Shae Brock | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-04 |
| 1891191102 | Jessica Brock | Physical Therapist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2014-11-13 |
| 1295148914 | Jessica Marie Brock | Nurse Practitioner | 1010 Main St S, Mc Kee, KY 40447-7089 | 2014-06-10 |
| 1740582915 | Jessica Brock | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2010-11-22 |
| 1053540450 | Jessica Nicole Brock | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2009-07-07 |
| 1699925537 | Jessica Gray Brock | Physician Assistant | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2008-09-29 |
| Street Address |
180 HANSEN CT |
| City | WOOD DALE |
| State | IL |
| Zip Code | 60191-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992919724 | Child's Voice School | Counselor | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2007-05-10 |
| 1003451824 | Jessica Pearlman | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2019-11-15 |
| 1215587084 | Sarah Miller | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2019-09-13 |
| 1760030530 | Paige Stabrawa | Audiologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2019-08-26 |
| 1639526353 | Marianne Benedek | Social Worker | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2016-05-23 |
| 1043689920 | Katie Yu | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2015-09-21 |
| 1083099550 | Tatum Fritz | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2015-07-27 |
| 1417380361 | Landon Barrett Lacey | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2013-08-14 |
| 1477995140 | Alison Rae Eier | Developmental Therapist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2013-07-23 |
| 1316389000 | Alexanna K. Kubler | Speech-Language Pathologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402425 | Linda Jenig | Taxi | 230 Thomas Drive, 10000 Dale, IL 60191 | 2018-10-04 |
| 1023412913 | Nell N Griffin | Licensed Practical Nurse | 473 Jeanne Court, Apartment 3, Wood Dale, IL 60191 | 2014-10-21 |
| 1467881086 | Norma Barajas | Interpreter | 309 Charmille Lane, Wood Dale, IL 60191 | 2013-11-04 |
| 1013283985 | Donald C. Kellner Dds-wood Dale PC | Dentist | 333 North Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2012-03-26 |
| 1326299892 | Dr. Donald Kellner & Associates | Dentist | 333 N. Wood Dale Rd., Wood Dale, IL 60191 | 2008-10-02 |
| 1235337841 | Wood Dale Dental Ltd | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2007-07-05 |
| 1457552044 | Lyra Repplinger | Developmental Therapist | 180 Hansen Court, Wood Dale, IL 60191 | 2007-05-30 |
| 1033289855 | Qirjako Kirk Hoda | Chiropractor | 404 W Irving Park Road, Suite #1, Wood Dale, IL 60191 | 2006-11-09 |
| 1881783199 | Dominic J Tolitano, Md Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 311 N. Walnut Ave, Suite 100, Wood Dale, IL 60191 | 2006-10-12 |
| 1417058405 | Donald Craig Kellner | Dentist | 333 N Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2006-09-25 |
| Find all providers in zip 60191 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417133760 | Carrie Balian | Specialist/Technologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1427666825 | Claudia Diane Sudduth | Specialist/Technologist | 2047 E 75th St Apt 2b, Chicago, IL 60649-3637 | 2020-07-21 |
| 1922620277 | Marina Leticia Washington | Specialist/Technologist | 3303 Wexford Ln, Joliet, IL 60431-0643 | 2020-05-09 |
| 1568000453 | Aleksandra G Maslowiec | Specialist/Technologist | 8904 W 140th St Apt 3g, Orland Park, IL 60462-9225 | 2019-12-11 |
| 1396381067 | Casey Malman | Specialist/Technologist | 901 W Madison St Unit 701, Chicago, IL 60607-3372 | 2019-11-18 |
| 1467001800 | Raoof Mirza Ali Baig | Specialist/Technologist | 564 Abbey Rd, Bartlett, IL 60103-1926 | 2019-09-09 |
| 1598314072 | Shawna Grace Stadtherr | Specialist/Technologist | 2925 Manchester Dr, Montgomery, IL 60538-4063 | 2019-09-08 |
| 1770139834 | Laura Joana Ayla | Specialist/Technologist | 440 N Anna Ln, Romeoville, IL 60446-5283 | 2019-08-14 |
| 1801456454 | Andy's Hub LLC | Specialist/Technologist | 922 North Blvd Apt 607, Oak Park, IL 60301-1244 | 2019-06-17 |
| 1548729148 | Jamie Sanberg | Specialist/Technologist | 314 N Warwick Ave Apt 2c, Westmont, IL 60559-1583 | 2019-03-14 |
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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.