PEER SERVICES, INC. (NPI# 1881730620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881730620 |
Entity Type | Organization |
Organization Name | PEER SERVICES, INC. |
Practice Address |
906 Davis St Evanston IL 60201-3608 |
Practice Telephone | 8474921778 |
Practice Fax Number | 8474920320 |
Mailing Telephone | (847) 492-1778 |
Mailing Fax Number | 8474920320 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2017-09-11 |
Authorized Official Name | MAUREEN MCDONNELL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8474921778 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
A-0502-001-A | IL | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0502-009-A | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS PROVIDER # | 1634014 | 01 |
IL | IL DHS DASA LICENSE # | A-0502-0001-A | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720225725 | Peer Services, Inc. | Community/Behavioral Health | 3633 W Lake Ave, Suite 305, Glenview, IL 60026-5805 | 2009-01-13 |
Street Address |
906 DAVIS ST |
City | EVANSTON |
State | IL |
Zip Code | 60201-3608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114572963 | Dr. Britt Borden | Internal Medicine | 906 Davis St, Evanston, IL 60201-3608 | 2019-08-08 |
1841850971 | Lu Jin | Counselor | 906 Davis St, Evanston, IL 60201-3608 | 2019-06-20 |
1861978033 | Karlie Louise Pearson | Social Worker | 906 Davis St, Evanston, IL 60201-3608 | 2018-07-11 |
1215445143 | Mary Matty Speth | Counselor | 906 Davis St, Evanston, IL 60201-3608 | 2018-01-12 |
1972029197 | Emma Schwartz | Social Worker | 906 Davis St, Evanston, IL 60201-3608 | 2017-08-18 |
1275061814 | Caley Wieties | Counselor | 906 Davis St, Evanston, IL 60201-3608 | 2017-05-26 |
1730624388 | Jared Day | Counselor | 906 Davis St, Evanston, IL 60201-3608 | 2017-01-05 |
1093266447 | Claire Tobin | Social Worker | 906 Davis St, Evanston, IL 60201-3608 | 2016-10-20 |
1235596750 | Mahalia Gilot | Counselor | 906 Davis St, Evanston, IL 60201-3608 | 2016-01-28 |
1750765947 | Gina Lee Storti | Social Worker | 906 Davis St, Evanston, IL 60201-3608 | 2015-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
Find all providers in zip 60201 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
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1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.