NEW FOUNDATION CENTER INC (NPI# 1104229988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104229988 |
| Entity Type | Organization |
| Organization Name | NEW FOUNDATION CENTER INC |
| Practice Address |
4343 Old Grand Ave Gurnee IL 60031-2767 |
| Mailing Address |
444 W Frontage Rd Northfield IL 60093-3009 |
| Practice Telephone | 8476728525 |
| Practice Fax Number | 8476729493 |
| Mailing Telephone | 8475012939 |
| Mailing Fax Number | 8477164803 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | MS. SUSAN SHIMON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8475012939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4343 OLD GRAND AVE |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765279 | Thomas F. Wright | Counselor | 4343 Old Grand Ave, Suite 107 C, Gurnee, IL 60031-2767 | 2006-01-19 |
| 1841735966 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Suites 200 & 202, Gurnee, IL 60031-2767 | 2016-12-28 |
| 1306292248 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2016-05-10 |
| 1396146775 | Emilio Carrillo | Dentist | 4343 Old Grand Ave, Ste-112, Gurnee, IL 60031 | 2014-09-04 |
| 1952725038 | 1st Assure Home Health, LLC | Home Health | 4343 Old Grand Ave, Suite 106, Gurnee, IL 60031-2767 | 2014-02-11 |
| 1316377682 | Spring View Imaging Center | Clinic/Center | 4343 Old Grand Ave, Suite 205, Gurnee, IL 60031-2767 | 2013-11-22 |
| 1326189309 | Tim M. Jackimek | Dentist | 4343 Old Grand Ave, Ste # 105, Gurnee, IL 60031-2767 | 2007-02-10 |
| 1700935418 | Alison B Koehler | Counselor | 4343 Old Grand Ave, Suite 107 C, Gurnee, IL 60031-2767 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547670 | Donna Duray | Counselor | 269 S Fork Dr, Gurnee, IL 60031-2537 | 2020-01-10 |
| 1356996284 | Cree L Carter | Counselor | 1800 Nations Dr Ste 116, Gurnee, IL 60031-9171 | 2019-08-07 |
| 1124347570 | Shannon L Parsons | Counselor | 4343 Old Grand Ave Ste 205, Gurnee, IL 60031-2700 | 2010-05-25 |
| 1124341102 | Mary-jo Scholand | Counselor | 501 N Riverside, Suite 217, Gurnee, IL 60031 | 2010-03-05 |
| 1821648189 | Lindsay G. Williams | Counselor | 1790 Nations Dr Ste 116, Gurnee, IL 60031-9175 | 2019-09-18 |
| 1194214635 | Latisha M Grier | Counselor | 1790 Nations Dr, Gurnee, IL 60031-9164 | 2018-05-09 |
| 1942754320 | Susan Vonbruenchenhein | Counselor | 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 | 2016-08-15 |
| 1437527207 | Erica Trevino | Counselor | 1125 Tri State Pkwy, Gurnee, IL 60031-9177 | 2015-09-09 |
| 1811164783 | Melissa Susan Kostial-janos | Counselor | 135 N Greenleaf St, Ste 228, Gurnee, IL 60031-3393 | 2008-05-10 |
| 1851414916 | Torre K Swanson | Counselor | 135 N Greenleaf St, Suite 230, Gurnee, IL 60031-3393 | 2007-04-06 |
| Find all providers in GURNEE | ||||
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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.