RALPH SALVATORE POLLARO (NPI# 1265667679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265667679 |
Entity Type | Individual |
Full Name | RALPH SALVATORE POLLARO |
Credential | LPC |
Practice Address |
2110 York St Blue Island IL 60406-2520 |
Practice Telephone | 7085977673 |
Practice Fax Number | 7085977673 |
Mailing Telephone | 7085977673 |
Mailing Fax Number | 7085977673 |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-05-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.006071 | IL | Behavioral Health & Social Service Providers |
Street Address |
2110 YORK ST |
City | BLUE ISLAND |
State | IL |
Zip Code | 60406-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
Find all providers in zip 60406 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568920833 | Kimberley Jane Tarcak | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-03-06 |
1902371461 | Rachel Parker | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-10-10 |
1114420759 | Andrea R. Boyd | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2018-03-09 |
1366958068 | Katie Karner | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-12-18 |
1093256596 | Nicole Frazier | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-03-16 |
1174063838 | Sarah Ahmed | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2017-02-28 |
1467904458 | Chelsea Christine Werries | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2016-10-26 |
1538611538 | Katherine Robinson | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2016-10-26 |
1447623970 | Katrina Neubauer | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-11-05 |
1568834158 | Angelica Cornejo | Counselor | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-10-22 |
Find all providers in BLUE ISLAND |
City | BLUE ISLAND |
Zip Code | 60406 |
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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.