LEEP BEYOND NFP (NPI# 1174185672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174185672 |
Entity Type | Organization |
Organization Name | LEEP BEYOND NFP |
Practice Address |
1280 W Washington Blvd Chicago IL 60607-1930 |
Practice Telephone | 3126248750 |
Practice Fax Number | 3126248750 |
Mailing Telephone | 3126248750 |
Mailing Fax Number | 3126248750 |
Enumeration Date | 2019-07-03 |
Last Update Date | 2019-07-03 |
Authorized Official Name | MRS. LORELL MARIN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7732558155 |
Authorized Official Credential | MST, MSW, DT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
1280 W WASHINGTON BLVD |
City | CHICAGO |
State | IL |
Zip Code | 60607-1930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346630753 | Pamela Myers | Developmental Therapist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2015-01-23 |
1972151736 | Michaela Dalal | Behavioral Analyst | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2019-08-26 |
1871054486 | Maggie Sladick | Occupational Therapist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2019-03-27 |
1710443353 | Lindsey Adams | Occupational Therapist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2019-02-19 |
1548741044 | Shira Goldstein | Speech-Language Pathologist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2018-08-23 |
1306327705 | Erin Gaffney | Speech-Language Pathologist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2018-08-23 |
1124523154 | Maia Brake | Social Worker | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2018-03-30 |
1619478526 | Megan Ponte | Social Worker | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2018-02-26 |
1366995037 | Dana Peot Hutchins | Developmental Therapist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2016-07-29 |
1023460698 | Alyssa Giacalone | Speech-Language Pathologist | 1280 W Washington Blvd, Chicago, IL 60607-1930 | 2016-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
Find all providers in zip 60607 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
1861964959 | Midway Medical | Clinic/Center | 2 W 103rd St, Chicago, IL 60628-2619 | 2018-12-30 |
1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
1235584475 | Healthworks Medical Group of Illinois S C | Clinic/Center | Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-25 |
1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on LEEP BEYOND NFP.
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.