ELIZABETH LASSANDRELLO BREMNER (NPI# 1235669763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235669763 |
Entity Type | Individual |
Full Name | ELIZABETH LASSANDRELLO BREMNER |
Practice Address |
123 W. Washington St Oswego IL 60543 |
Mailing Address |
123 W Washington St Ste 321 Oswego IL 60543-8297 |
Practice Telephone | 6303832077 |
Mailing Telephone | 6303832077 |
Mailing Fax Number | 6303832076 |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-06-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
178011187 | IL | Behavioral Health & Social Service Providers |
N | 101YS0200X |
Counselor Specialization: School |
1001524 | IL | Behavioral Health & Social Service Providers |
Street Address |
123 W. WASHINGTON ST |
City | OSWEGO |
State | IL |
Zip Code | 60543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
1275847204 | Oswego East Dental Associates | Dentist | 1768 Douglas Rd, Oswego, IL 60543 | 2010-08-02 |
Find all providers in zip 60543 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138812 | Cristen Taylor | Counselor | 123 W Washington St # B08, Oswego, IL 60543-8214 | 2019-01-21 |
1679857577 | Melanie Anne Dewey | Counselor | 298 Waterbury Cir, Oswego, IL 60543-7920 | 2011-10-11 |
1053613083 | Kelly M Fixmer | Counselor | 105 Theodore Dr, Suite B-2, Oswego, IL 60543-6031 | 2010-11-23 |
1225367618 | Kathryn R Howe | Counselor | 5 E Washington Street, Suite 2d, Oswego, IL 60543 | 2009-12-14 |
1962046615 | Shannon Carlson | Counselor | 2683 Route 34, Oswego, IL 60543-8577 | 2019-11-05 |
1679137582 | Stephanie Estell Wollert | Counselor | 123 W Washington St Ste 321, Oswego, IL 60543-8297 | 2019-04-25 |
1730645409 | Kristy Cahill | Counselor | 62 S Madison St, Oswego, IL 60543-9806 | 2019-02-18 |
1477021368 | Anna Themanson | Counselor | 123 W Washington St Ste B-08, Oswego, IL 60543-8214 | 2018-11-08 |
1518404367 | Jessica Elise Johnson Berrios | Counselor | 123 W Washington St, Suite 321, Oswego, IL 60543-8214 | 2017-01-31 |
1326499500 | Amy Gillette | Counselor | 123 W Washington St, Suite 321, Oswego, IL 60543-8214 | 2016-06-28 |
Find all providers in OSWEGO |
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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.