DR. CAROL ANN BRUNKOWSKI (NPI# 1124664602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124664602 |
| Entity Type | Individual |
| Full Name | DR. CAROL ANN BRUNKOWSKI |
| Credential | SCHOOL PSYCHOLOGIST |
| Practice Address |
4930 S Cottage Grove Ave Chicago IL 60615-2616 |
| Mailing Address |
1410 W George St Chicago IL 60657-4104 |
| Practice Telephone | 7732858040 |
| Mailing Telephone | 7738833071 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1989567 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4930 S COTTAGE GROVE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538004 | Bronzeville Acadmey Charter School | Local Education Agency (LEA) | 4930 S Cottage Grove Ave, Chicago, IL 60615-2616 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871087916 | Hedy Keiderling | Psychologist | 1515 N Astor St Apt 4c, Chicago, IL 60610-1655 | 2018-06-21 |
| 1174010409 | Devyn Mares | Psychologist | 2819 N Rockwell St Bsmt, Chicago, IL 60618-7803 | 2018-04-23 |
| 1821593864 | Mary Amy Esposito-usterbowski | Psychologist | 9907 S Hamilton Ave, Chicago, IL 60643-1813 | 2018-03-29 |
| 1518471069 | Lynsey Wong | Psychologist | 4410 N Sacramento Ave Apt 3e, Chicago, IL 60625-3860 | 2017-11-20 |
| 1578077293 | Erin Taylor | Psychologist | 9530 S Hoyne Ave, Chicago, IL 60643-1122 | 2017-11-17 |
| 1811401433 | Andrew P Szpur | Psychologist | 11242 S Longwood Dr, Chicago, IL 60643-4126 | 2017-11-17 |
| 1487167318 | Niekema Hudson | Psychologist | 2651 W Washington Blvd Fl 3, Chicago, IL 60612-2055 | 2017-11-14 |
| 1194236471 | Anthony M Adamowski | Psychologist | 2651 W Washington Blvd, Chicago, IL 60612-2055 | 2017-10-13 |
| 1992224802 | Leilani Castaneda | Psychologist | 2117 N Kedzie Blvd Apt 2r, Chicago, IL 60647-2728 | 2017-09-12 |
| 1538619119 | Nicole Billings | Psychologist | 7211 S Rockwell St, Chicago, IL 60629-2029 | 2016-10-07 |
| 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.