KENNY CHAN (NPI# 1174121495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174121495 |
| Entity Type | Individual |
| Full Name | KENNY CHAN |
| Credential | LPC |
| Practice Address |
125 Fairfield Way Ste 380 Bloomingdale IL 60108-3701 |
| Mailing Address |
196 Lucerne Ct Wheeling IL 60090-6743 |
| Practice Telephone | 8152955470 |
| Mailing Telephone | 7735403630 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
178.016192 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
178016192 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275722902 | Kenny K. Chan | Counselor | 201 8th St, San Francisco, CA 94103-3910 | 2007-10-18 |
| 1861595654 | Kenny Chan | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-09-07 |
| Street Address |
125 FAIRFIELD WAY STE 380 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619397528 | Amanda Wilhite | Counselor | 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 | 2014-04-17 |
| 1720690332 | Jessica Blumberg | Counselor | 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 | 2020-08-17 |
| 1891344271 | Nicole Clark | Counselor | 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 | 2019-09-09 |
| 1326540634 | Holly Fisher | Counselor | 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916799 | Stacy Morales | Counselor | 5313 Avalon Way, Bloomingdale, NJ 07403-2253 | 2019-11-13 |
| 1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
| 1548785264 | Kelsey Ruffing | Counselor | 132 W Lake St # 11, Bloomingdale, IL 60108-1020 | 2017-08-03 |
| 1497276331 | Stephanie Coutts | Counselor | 125 Fairfield Way Ste 290, Bloomingdale, IL 60108-1598 | 2017-06-30 |
| 1417338526 | Rebecca Adamowski | Counselor | 1 Tiffany Pt Ste G9, Bloomingdale, IL 60108-2951 | 2015-06-15 |
| 1942580626 | Michael S Lang | Counselor | 1 Tiffany Pt Ste 210, Bloomingdale, IL 60108 | 2011-08-25 |
| 1033428677 | Scott Andrew Mcgill | Counselor | 45 Knolls Rd, Bloomingdale, NJ 07403-1547 | 2010-09-30 |
| 1316127731 | Spring Meadows Home Health Care LLC | Counselor | 113 Fairfield Way, Suite 204, Bloomingdale, IL 60108-2116 | 2007-11-14 |
| 1447379268 | Patricia K Scott | Counselor | 148 S Bloomingdale Rd, Suite 112, Bloomingdale, IL 60108 | 2007-03-29 |
| 1093871089 | Joyce Nadine Nelson | Counselor | 255 Lakeshore Lane, Bloomingdale, IL 60108 | 2006-12-28 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on KENNY CHAN.
| 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.