MR. RODOLFO MIRELES (NPI# 1285260075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285260075 |
| Entity Type | Individual |
| Full Name | MR. RODOLFO MIRELES |
| Credential | LCPC |
| Practice Address |
210 N Hammes Ave Joliet IL 60435-6680 |
| Mailing Address |
436 Wright Ct Bolingbrook IL 60440-2058 |
| Practice Telephone | 8157297790 |
| Practice Fax Number | 8157258144 |
| Mailing Telephone | 8152129376 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.012863 | IL | Behavioral Health & Social Service Providers |
| Street Address |
210 N HAMMES AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995426 | Suresh Bhalla | Specialist | 210 N Hammes Ave, Suite 112, Joliet, IL 60435-6680 | 2005-07-08 |
| 1265076426 | Magaly Passos-hoke | Marriage & Family Therapist | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2019-10-31 |
| 1912445909 | Joliet Behavioral Center, Inc | Psychiatry & Neurology | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-02-09 |
| 1356888184 | Lauren Elizabeth Mahaffey | Social Worker | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-01-31 |
| 1184021461 | Kathleen Ryan Linehan | Nurse Practitioner | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2014-12-02 |
| 1558775031 | Amanda Katherine Harwood | Podiatrist | 210 N Hammes Ave, Ste 103, Joliet, IL 60435-6688 | 2014-06-12 |
| 1831517630 | Michael Wathen | Counselor | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2014-03-31 |
| 1174955710 | Allison Marie Castello | Counselor | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2013-08-06 |
| 1356789754 | Allison Renae Giacomi | Counselor | 210 N Hammes Ave, 205, Joliet, IL 60435-6680 | 2013-06-06 |
| 1316269475 | Mark B Fletcher | Counselor | 210 N Hammes Ave, Suite 103, Joliet, IL 60435-6680 | 2010-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056150 | Melora Hardwick | Counselor | 921 Greenleaf Dr, Joliet, IL 60436-9724 | 2019-07-26 |
| 1437649944 | Stephanie Coccaro | Counselor | 2400 Glenwood Ave Ste 126, Joliet, IL 60435-5495 | 2018-05-10 |
| 1700399342 | Tiffany R Schaefer | Counselor | 717 Barber Ln, Joliet, IL 60435-5143 | 2017-11-06 |
| 1376062570 | Susan Marina Oconnor | Counselor | 829 Campus Dr, Joliet, IL 60435-8573 | 2017-09-19 |
| 1699299586 | Renita J Sanders | Counselor | 58 E Clinton St # B30, Joliet, IL 60432-4143 | 2017-08-01 |
| 1326427212 | Julie Branchaw | Counselor | 1125 Clara Ave, Joliet, IL 60435-4458 | 2015-05-25 |
| 1679848279 | Casi Lynne Besich | Counselor | 3102 Harris Dr, Joliet, IL 60431-1504 | 2012-03-14 |
| 1285842682 | Ednalice Pagan-romney | Counselor | 310 N Hammes Ave Ste 201a, Joliet, IL 60435-8127 | 2007-05-18 |
| 1710010293 | Stephanie Ann Haverstock | Counselor | 62 W Washington St, Joliet, IL 60432-4331 | 2007-03-13 |
| 1972639730 | Ruth L. Rohan | Counselor | 2531 Division St, Suite 102, Joliet, IL 60435-8734 | 2007-02-26 |
| Find all providers in JOLIET | ||||
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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.