ANTIONETTE FISHER


Address: 5703 S Peoria St, Chicago, IL 60621-2262
Phone: 8889842523

ANTIONETTE FISHER (NPI# 1013523984) 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) 1013523984
Entity Type Individual
Full Name ANTIONETTE FISHER
Credential LCPC, NCC
Practice Address 5703 S Peoria St
Chicago
IL 60621-2262
Mailing Address 224 Datura St Ste 1015
West Palm Beach
FL 33401-5638
Practice Telephone 8889842523
Practice Fax Number 5618982237
Mailing Telephone 5616008764
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178.016062 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
224 Datura St Ste 1015, West Palm Beach, FL 334015638 5616008764

Office Location

Street Address 5703 S PEORIA ST
City CHICAGO
State IL
Zip Code 60621-2262

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1811597263 April Wilburne Counselor 804 E 54th St Apt 3, Chicago, IL 60615-4972 2020-10-27
1043810393 Pamela Kranyak Counselor 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 2020-10-27
1003413378 Erika Aguirre Counselor 5040 S Keating Ave., Chicago, IL 60632-4919 2020-10-08
1497361661 Michael V Biederman Counselor 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 2020-09-22
1114532561 Nefesh Counseling, LLC Counselor 3320 W Foster Ave # 124, Chicago, IL 60625-4813 2020-09-12
1114531043 Katherine E Evans Counselor 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 2020-09-08
1134733868 The Willow Center for Integrative Health Counselor 4506 W Byron St, Chicago, IL 60641-3470 2020-09-01
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Competitor

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City CHICAGO
Zip Code 60621

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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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