ANDREW SCOTT JACK (NPI# 1265864797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265864797 |
| Entity Type | Individual |
| Full Name | ANDREW SCOTT JACK |
| Credential | M.A. |
| Practice Address |
7 Blanchard Cir Ste 201 Wheaton IL 60189-2039 |
| Mailing Address |
1n002 Barry Ave Wheaton IL 60187-2920 |
| Practice Telephone | 6306532300 |
| Practice Fax Number | 6306532895 |
| Mailing Telephone | 6307790974 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291793 | Andrew Steven Jack | Neurological Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2018-07-03 |
| Street Address |
7 BLANCHARD CIR STE 201 |
| City | WHEATON |
| State | IL |
| Zip Code | 60189-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885334 | Connie Valentini | Psychologist | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2006-03-17 |
| 1487273033 | Margaret Lynn Jones | Counselor | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2020-04-14 |
| 1164078580 | Eric Brown | Counselor | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2019-08-12 |
| 1689125254 | Jennifer Mangan | Counselor | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2016-10-19 |
| 1417347634 | Betty Crane | Counselor | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2015-01-26 |
| 1588769434 | Kelly Schimmel Flanagan | Psychologist | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008272 | Caitlyn Jablonowski | Counselor | 2100 Manchester Rd Ste 952, Wheaton, IL 60187-4649 | 2020-03-14 |
| 1962051474 | Sarah Cline, Lcsw and Associates, Pllc | Counselor | 2100 Manchester Rd Ste 501-1, Wheaton, IL 60187-4579 | 2019-09-06 |
| 1306400981 | Kristine Buelow | Counselor | 620 W Roosevelt Rd Ste C2, Wheaton, IL 60187-2306 | 2019-04-29 |
| 1700346806 | Ingrid Erickson | Counselor | 926 N Scott St, Wheaton, IL 60187-3862 | 2019-03-23 |
| 1346720711 | Nathan David Chase | Counselor | 122 W. Liberty Dr., Wheaton, IL 60187-5124 | 2018-08-15 |
| 1457838526 | Rebecca Anne Rieth | Counselor | 111 W Wesley St Ste 2, Wheaton, IL 60187-5136 | 2018-07-23 |
| 1760991343 | Renee Petra Barney | Counselor | 820b Crescent St Apt 6, Wheaton, IL 60187-5663 | 2017-09-26 |
| 1215475645 | Suzanne Clarey, LLC | Counselor | 914 N President St, Wheaton, IL 60187-4366 | 2017-02-06 |
| 1063967214 | Meghan Lorier | Counselor | 817 College Ave, Apartment 16, Wheaton, IL 60187-4351 | 2016-08-17 |
| 1881046704 | April Martin | Counselor | 1051 Briarbrook Dr, #110, Wheaton, IL 60189-8669 | 2016-07-02 |
| Find all providers in WHEATON | ||||
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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.