GENESIS CLINICAL SERVICES (NPI# 1265432140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265432140 |
| Entity Type | Organization |
| Organization Name | GENESIS CLINICAL SERVICES |
| Practice Address |
1725 S Naperville Rd Suite 206 Wheaton IL 60187-8155 |
| Practice Telephone | 6306536441 |
| Practice Fax Number | 6306538409 |
| Mailing Telephone | 6306536441 |
| Mailing Fax Number | 6306538409 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RALPH M ORLAND (PRESIDENT) |
| Authorized Official Telephone | 6306536441 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
IL | Ambulatory Health Care Facilities |
| Street Address |
1725 S NAPERVILLE RD SUITE 206 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616863 | Alexandra Koziol | Behavior Technician | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2020-07-07 |
| 1598308579 | Nicole Elizabeth Schutte | Occupational Therapist | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-10-23 |
| 1144861568 | Catherine Pierotti | Nurse Practitioner | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-10-07 |
| 1467001610 | Annette Lorette Popernik | Social Worker | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-09-10 |
| 1053966945 | Joshua M Copeland | Behavior Technician | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-08-07 |
| 1578116315 | Nicole Christine Elliott | Behavior Technician | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-07-22 |
| 1518420470 | Hailey Elizabeth Gastrow | Occupational Therapist | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2019-04-08 |
| 1962986323 | Ashley Gallagher | Behavioral Analyst | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2018-09-21 |
| 1477061992 | Christy Marie Fieber | Behavior Technician | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2018-01-18 |
| 1285145987 | Kendall Maree Ryndak | Behavioral Analyst | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2017-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
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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.