WILLIE C HARMON SR. (NPI# 1215566781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215566781 |
Entity Type | Individual |
Full Name | WILLIE C HARMON SR. |
Credential | LCPC, DOCTORATE |
Practice Address |
1 Ingalls Dr Harvey IL 60426-3558 |
Mailing Address |
315 Jackson St Park Forest IL 60466-1083 |
Practice Telephone | 7089155441 |
Practice Fax Number | 7089154568 |
Mailing Telephone | 2245326108 |
Enumeration Date | 2020-04-06 |
Last Update Date | 2020-04-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006365 | IL | Behavioral Health & Social Service Providers |
Street Address |
1 INGALLS DR |
City | HARVEY |
State | IL |
Zip Code | 60426-3558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239789 | Lisa M. Bibb | Pathology | 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | 2005-07-18 |
1306453501 | Nicole Stephen | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-09-30 |
1730704958 | Emily Limberg | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-06-12 |
1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
1720579493 | Eugenia V Whalen-robinson | Social Worker | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-05-29 |
1972010718 | Lindsay Syring | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-01-02 |
1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
1649789876 | Jeanette Varquez | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538499579 | Nathaniel D'urville Isaac | Psychologist | 31 W 155th St, Harvey, IL 60426-3556 | 2010-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
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1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
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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.