CRYSTAL COLE PMHNP-BC LLC (NPI# 1073147252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147252 |
| Entity Type | Organization |
| Organization Name | CRYSTAL COLE PMHNP-BC LLC |
| Practice Address |
2500 W Bradley Pl Ste 100 Chicago IL 60618-4716 |
| Mailing Address |
Po Box 506 Northbrook IL 60065-0506 |
| Practice Telephone | 2243061879 |
| Practice Fax Number | 2243061879 |
| Mailing Telephone | 8475629505 |
| Mailing Fax Number | 8472821669 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | CRYSTAL COLE (OWNER) |
| Authorized Official Telephone | 2243061879 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Revere Dr Ste 100, Northbrook, IL 600621590 | 2243061879 | 2242053757 |
| Street Address |
2500 W BRADLEY PL STE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154582385 | Chrisantha Ernest Anandappa | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2008-06-20 |
| 1134730963 | Dr Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1629689393 | Dr Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1306457445 | Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1366053449 | Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1154955334 | Crystal Lynn Cole Pmhnp-bc LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-02-26 |
| 1093352098 | Felisha Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1992342992 | Felisha Marie Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1821658527 | Dana Eason, Apn, LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-06-17 |
| 1013571264 | Dr. Alison Weiss, LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
| 1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
| 1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
| 1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
| 1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
| 1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
| 1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
| 1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
| Find all providers in CHICAGO | ||||
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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.