MICHELLE DJUS (NPI# 1164023180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164023180 |
| Entity Type | Individual |
| Full Name | MICHELLE DJUS |
| Credential | BSW, CADC |
| Practice Address |
620 N State Route 31 Crystal Lake IL 60012-3714 |
| Practice Telephone | 8152613450 |
| Mailing Telephone | 8152613450 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
35205 | IL | Behavioral Health & Social Service Providers |
| Street Address |
620 N STATE ROUTE 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518428226 | Northern Illinois Recovery LLC | Clinic/Center | 620 N State Route 31, Crystal Lake, IL 60012-3714 | 2019-03-26 |
| 1568018224 | Lindsey Hammonds | Social Worker | 620 N State Route 31, Crystal Lake, IL 60012-3714 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669865176 | Lori J Thomas | Counselor | 1711 Nish Rd, Crystal Lake, IL 60012-1552 | 2015-03-07 |
| 1396152443 | John Christopher Pickett | Counselor | 430 James St, Crystal Lake, IL 60014-7164 | 2014-07-21 |
| 1689833410 | Kristine Patricia Kester | Counselor | 800 S Mchenry Ave, Suite D, Crystal Lake, IL 60014-7487 | 2008-06-06 |
| 1699848135 | Advantage Group Foundation, Ltd | Counselor | 422 Tag Way, Crystal Lake, IL 60014-6288 | 2006-11-15 |
| 1558478479 | Employee Health Consultants Inc | Counselor | 101 N Virginia, Suite 160, Crystal Lake, IL 60014 | 2006-08-24 |
| 1376150896 | Revival Therapy Inc | Counselor | 42 East St, Crystal Lake, IL 60014-4400 | 2020-09-29 |
| 1477193258 | Erin Fowler | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2020-01-09 |
| 1770930497 | Kristin Fell | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-05-23 |
| 1851787154 | Robert Bernard Allanson | Counselor | 422 Tracy Ct, Crystal Lake, IL 60014-6288 | 2015-04-13 |
| 1598075087 | Emily Kunash | Counselor | 422 Tracy Ct, Crystal Lake, IL 60014-6288 | 2010-10-18 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
Please comment or provide details below to improve the information on MICHELLE DJUS.
| 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.