A BRIDGE BACK, INC. (NPI# 1093354037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093354037 |
| Entity Type | Organization |
| Organization Name | A BRIDGE BACK, INC. |
| Practice Address |
314 Mchenry Rd Buffalo Grove IL 60089-2428 |
| Practice Telephone | 8444276739 |
| Mailing Telephone | 8444276739 |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. LUCIEN IZRAYLOV (PRESIDENT) |
| Authorized Official Telephone | 8478772440 |
| Authorized Official Credential | MA, CADC, CODP, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
314 MCHENRY RD |
| City | BUFFALO GROVE |
| State | IL |
| Zip Code | 60089-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969406 | B Bridge Back LLC | General Practice | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1487165304 | Crystalann Sasha Thomas | Social Worker | 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 | 2017-10-18 |
| 1801315718 | Natalya Sagalov | Psychologist | 1283 Sandhurst Drive, Buffalo Grove, IL 60089 | 2017-09-12 |
| 1770035859 | Transport Auto Inc | Non-emergency Medical Transport (VAN) | 456 Chicory Ln, Buffalo Grove, IL 60089 | 2016-10-25 |
| 1982062535 | Eileen Fang | Occupational Therapist | 858 Horatio Blvd., Buffalo Grove, IL 60089 | 2016-02-10 |
| 1437538345 | Jamie Levin | Social Worker | 830 Belmar Lane, Buffalo Grove, IL 60089 | 2015-05-26 |
| 1669850756 | Cress Chiropractic Inc | Chiropractor | 1176 Mchenry Road, Buffalo Grove, IL 60089 | 2015-05-11 |
| 1801273123 | Vicki Lane Sheehan | Dentist | 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 | 2015-05-06 |
| 1073918629 | Natalya Nagornaya Dds PC | Dentist | 472 Half Day Rd, Buffalo Grove, IL 60089 | 2014-10-24 |
| Find all providers in zip 60089 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588759 | Nicasa, Nfp | Clinic/Center | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2016-10-07 |
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| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | BUFFALO GROVE |
| Zip Code | 60089 |
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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.