DR. BRIAN WAXLER (NPI# 1265877476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265877476 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WAXLER |
| Credential | PSY.D. |
| Practice Address |
2800 S California Ave Chicago IL 60608-5107 |
| Mailing Address |
509 W Main St Barrington IL 60010-6827 |
| Practice Telephone | 7736743612 |
| Mailing Telephone | 6307152728 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008554 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2800 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759033 | John Michael Raba | Internal Medicine | 2800 S California Ave, Chicago, IL 60608-5107 | 2006-07-26 |
| 1093216855 | Arielle Douglas | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2018-02-26 |
| 1700391794 | Alina M Colon | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2017-12-12 |
| 1538672977 | Brittany Ellen Wilkins | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2017-11-08 |
| 1376088542 | Mary-ellen Martinez | Psychologist | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-12-27 |
| 1093258246 | John H Stroger Hospital of Cook County | Rehabilitation Unit | 2800 S California Ave, Chicago, IL 60608 | 2016-11-21 |
| 1649720004 | Andrew Greiner | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-10-10 |
| 1386002251 | Olamide Taiwo | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-02-05 |
| 1528439221 | Daniel Kaczrowski | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2015-10-07 |
| 1629445242 | Gina Chung | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 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 |
| 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 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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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.