MS. TAMMARA PETRILL THOMAS (NPI# 1215089461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215089461 |
Entity Type | Individual |
Full Name | MS. TAMMARA PETRILL THOMAS |
Credential | MS, CADC |
Practice Address |
4700 W 95th St Suite Ll5 Oak Lawn IL 60453-2533 |
Mailing Address |
2340 W 111th St # 1 Chicago IL 60643-3924 |
Practice Telephone | 7084996286 |
Mailing Telephone | 7734262317 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-08 |
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) |
Behavioral Health & Social Service Providers |
Street Address |
4700 W 95TH ST SUITE LL5 |
City | OAK LAWN |
State | IL |
Zip Code | 60453-2533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205826708 | Dzung X Nguyen | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2005-10-26 |
1902385990 | Elizabeth Peoples | Physician Assistant | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2018-08-09 |
1720539471 | Advocate Health and Hospital Corp | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-18 |
1083164347 | Schaelyn Mcfadden | Psychologist | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-11 |
1356700744 | Oak Lawn Health Mart Pharmacy Inc | Pharmacy | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2016-02-15 |
1992172464 | Advocate Healthcare | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2015-08-31 |
1639546468 | Erin Katherine Hagerty | Counselor | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2015-08-27 |
1902288566 | Patricia Zielinski | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2015-06-19 |
1982092193 | Vanessa Houdek | Psychologist | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2014-12-23 |
1093067589 | Jenna Mary Felczak-berberich | Psychologist | 4700 W 95th St, Suite Lower Level 5, Oak Lawn, IL 60453-2533 | 2012-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
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Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
1215272752 | Laurie Heintz Siegel | Counselor | 10736 South Cicero Ave., Oak Lawn, IL 60453 | 2012-12-11 |
1598093999 | Solleys House | Counselor | 4239 W 95th St, Oak Lawn, IL 60453-2623 | 2009-11-23 |
1841899671 | Living Waters Counseling and Consulting Services | Counselor | 4550 W 103rd St Ste 302b, Oak Lawn, IL 60453-4868 | 2020-10-22 |
1427601871 | Mark H Pelech | Counselor | 10402 S Cicero Ave, Oak Lawn, IL 60453-4704 | 2019-07-24 |
1962960070 | Sarah Jane Laplante | Counselor | 4239 W 95th St, Oak Lawn, IL 60453-2623 | 2019-03-07 |
1326410184 | Patrick Lawrence Brett | Counselor | 4239 W 95th St, Oak Lawn, IL 60453-2623 | 2015-10-20 |
1225310865 | International Behavioral Health | Counselor | 10448 S Pulaski Rd, Suite 4, Oak Lawn, IL 60453-4895 | 2011-09-09 |
1609941459 | Thomas Joseph Pallardy | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2006-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
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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.