MS. AGNIESZKA ALINA WYSOCKA (NPI# 1043685589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043685589 |
| Entity Type | Individual |
| Full Name | MS. AGNIESZKA ALINA WYSOCKA |
| Practice Address |
4419 W North Ave Melrose Park IL 60160-1021 |
| Mailing Address |
2010 Hassell Rd Apt #201 Hoffman Estates IL 60169-6340 |
| Practice Telephone | 7737777112 |
| Practice Fax Number | 7085477732 |
| Mailing Telephone | 8479222210 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180005556 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4419 W NORTH AVE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1730723651 | Scott William Rein Jr. | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2019-11-04 |
| 1356812358 | Amber Lynn Maiberger | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1477024321 | Barbara Murphy | Social Worker | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1427529429 | Xavier Martillo | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1730654567 | Shuyi Chen | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-10-08 |
| 1902380322 | Carly Gelb | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-09-21 |
| 1144702747 | Stephanie Ann Vermillion | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-08-30 |
| 1689160822 | Karla E Suarez | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-07-10 |
| 1982192985 | Lillian Martinez | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902380322 | Carly Gelb | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-09-21 |
| 1144702747 | Stephanie Ann Vermillion | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-08-30 |
| 1194076406 | Victoria Iris Perisee-johns | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-09-26 |
| 1598043705 | Patricia A Camarena | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-07-22 |
| 1316235518 | Maya Y Krasikova | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-07-21 |
| 1730477068 | Jonathan A Butz | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-07-20 |
| 1760711634 | John O'malley | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2009-12-23 |
| 1831325992 | Irene Barquin | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2009-06-03 |
| 1346483401 | Terri L. Pearson | Counselor | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2009-04-19 |
| 1154467850 | Stephanie J Schneeberger | Counselor | 1919 Main St, Melrose Park, IL 60160-3737 | 2007-01-29 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on MS. AGNIESZKA ALINA WYSOCKA.
| 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.