MRS. LAURIE MARIE JEANS


Address: 2404 E Empire St, Bloomington, IL 61704-3630
Phone: 3096638275

MRS. LAURIE MARIE JEANS (NPI# 1144492257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144492257
Entity Type Individual
Full Name MRS. LAURIE MARIE JEANS
Practice Address 2404 E Empire St
Bloomington
IL 61704-3630
Practice Telephone 3096638275
Practice Fax Number 3096627872
Mailing Telephone 3096638275
Mailing Fax Number 3096627872
Enumeration Date 2008-03-28
Last Update Date 2008-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 2404 E EMPIRE ST
City BLOOMINGTON
State IL
Zip Code 61704-3630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396947974 Debra Dietrich Psychologist 2404 E Empire St, Bloomington, IL 61704-3630 2007-06-05
1235785106 Meghan Cotsones Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2019-08-15
1851858880 Michelle Lynn Bognanno Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2019-02-26
1457817199 Margaret Renee Jones Social Worker 2404 E Empire St, Bloomington, IL 61704-3630 2019-02-19
1386129864 Hallie M Johnson Behavioral Analyst 2404 E Empire St, Bloomington, IL 61704-3630 2018-10-01
1336515022 Amanda Gruber Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2015-08-17
1033548367 Jim Cooper Developmental Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2013-11-07
1134427669 Easter Seals Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2011-03-08
1801103528 Erin Marlene Fabish Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2010-09-01
1972734861 Jamie J Fifarek Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2009-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578931796 Gailey Westlund Specialist 2120 W Old Shakopee Rd # 3, Bloomington, MN 55431-3000 2015-09-03
1063719169 Robert A Spicer Specialist 5225 W Vernal Pike, Bloomington, IN 47404-9661 2011-02-25
1073815882 Stephen G Moore Specialist 2749 E Covenanter Dr, Bloomington, IN 47401-5454 2010-11-30
1508172099 Annabelle L Ogerio Specialist 1211 Broad Creek Rd, Bloomington, IL 61704-8536 2010-08-23
1366684086 Sterling Jerel Shores Specialist 2301 Ge Rd Apt 12, Bloomington, IL 61704-3425 2009-03-26
1205083417 Anne J Ford Msw Licsw LLC Specialist 9810 Edgewood Rd, Bloomington, MN 55438-1755 2008-08-20
1700066008 Kab Medical Associates, Inc Specialist 2998 S Sare Rd, Bloomington, IN 47401-4330 2007-11-05
1164557799 Biofeedback Training and Treatment Center, Inc. Specialist 5001 American Blvd W Ste 980, Biofeedback Training & Treatment Center, Inc., Bloomington, MN 55437-1164 2007-02-22
1093877151 Alan B Somers Specialist 3800 Commodore Trl, Bloomington, IN 47408-9423 2006-12-15
1174692115 Taehwan Kim Specialist 5342 Paola Cir, Bloomington, MN 55437-1052 2006-11-06
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Competitor

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City BLOOMINGTON
Zip Code 61704

Improve Information

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Dataset Information

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.

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