DANIELLE BOETTCHER (NPI# 1275767543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275767543 |
| Entity Type | Individual |
| Full Name | DANIELLE BOETTCHER |
| Credential | LCPC, PHD |
| Practice Address |
41081 N Julia Ct Antioch IL 60002-2201 |
| Practice Telephone | 8475148457 |
| Mailing Telephone | 8475148457 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2019-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180007192 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40142 N Rena Avenue, Antioch, IL 60002 | 8475148457 |
| Street Address |
41081 N JULIA CT |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109694 | Shayla Johnson-bunion | Counselor | 2563 Rosalee Ct, Antioch, TN 37013-3049 | 2020-09-17 |
| 1164032215 | Christine Ann Berry | Counselor | 42220 N Center St, Antioch, IL 60002-8991 | 2020-08-04 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1902242662 | Christine Toler | Counselor | 3121 Shady Tree Ln, Antioch, TN 37013-2482 | 2013-05-21 |
| 1578845541 | Rosemary Palmer | Counselor | 845 Bell Road, Suite 113, Antioch, TN 37013-1723 | 2011-09-15 |
| 1669777611 | Jennifer Marie Burris | Counselor | 1011 Mackenzie Dr, Antioch, IL 60002-7272 | 2011-01-24 |
| 1952628380 | Roy J Woods | Counselor | 180 Sophie Dr, Antioch, TN 37013-5815 | 2010-04-25 |
| 1841838513 | Nicole Patera | Counselor | 3701 Lone Tree Way Ste 7, Antioch, CA 94509-6015 | 2019-12-12 |
| 1669919064 | Emily Broadhurst | Counselor | 509 W 10th St, Antioch, CA 94509-1653 | 2017-01-23 |
| 1164811055 | Shera Thiele | Counselor | 2711 Murfreesboro Pike, Suite 100, Antioch, TN 37013-2000 | 2015-01-14 |
| Find all providers in ANTIOCH | ||||
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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.