STEPHANIE MAZZANTI (NPI# 1154715597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154715597 |
Entity Type | Individual |
Full Name | STEPHANIE MAZZANTI |
Practice Address |
33601 N Royal Oak Ln Apt 105 Grayslake IL 60030-2807 |
Mailing Address |
3633 W Lake Ave Ste 404 Glenview IL 60026-5801 |
Practice Telephone | 3126080097 |
Mailing Telephone | 3126080097 |
Enumeration Date | 2015-03-24 |
Last Update Date | 2015-03-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.009102 | IL | Behavioral Health & Social Service Providers |
Street Address |
33601 N ROYAL OAK LN APT 105 |
City | GRAYSLAKE |
State | IL |
Zip Code | 60030-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
Find all providers in zip 60030 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417564261 | Kelsey Schwab | Counselor | 17568 W Hickory Ln, Grayslake, IL 60030-3026 | 2020-09-25 |
1063863629 | Gregory Obert | Counselor | 30755 N Blackhawk Trl, Grayslake, IL 60030-9791 | 2016-06-24 |
1215282504 | Yahaira N Torres | Counselor | 34121 N Us Highway 45 Ste 103, Grayslake, IL 60030-1777 | 2012-07-23 |
1023374329 | Scott A. Ewart | Counselor | 18640 Belvedere Road, Grayslake, IL 60030 | 2012-04-11 |
1295009264 | Renae R. Woellert | Counselor | 100 S. Atkinson Rd, Suite 202, Grayslake, IL 60030 | 2012-03-08 |
1063784882 | Elisa C Heard | Counselor | 18640 W. Belvidere Rd, Grayslake, IL 60030-9733 | 2012-02-09 |
1801176599 | Heather Donald | Counselor | 18640 E Belvidere Rd, Grayslake, IL 60030-9733 | 2011-08-25 |
1871796797 | Therapeutic Services | Counselor | 33125 N Us Highway 45, Grayslake, IL 60030-3901 | 2007-06-07 |
1629184338 | Marty J. Ziemer | Counselor | 349 Behm Dr, Grayslake, IL 60030-1407 | 2006-08-23 |
1457756199 | Jeffrey Huhnstock | Counselor | 100 S Atkinson Rd Ste 202, Grayslake, IL 60030-7819 | 2014-10-23 |
Find all providers in GRAYSLAKE |
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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.