PHOENIX HEALTHCARE SERVICES LLC (NPI# 1285680645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285680645 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEALTHCARE SERVICES LLC |
| Practice Address |
7324 N Western Ave Chicago IL 60645-1814 |
| Mailing Address |
1941 Governors Hoffman Estates IL 60169 |
| Practice Telephone | 7734654555 |
| Practice Fax Number | 7734654552 |
| Mailing Telephone | 8473103555 |
| Mailing Fax Number | 7737512225 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | DR. JOEL MOSTOW (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 7734654555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
IL | Behavioral Health & Social Service Providers |
| Street Address |
7324 N WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568624039 | Aaa Home Health Services Inc | Durable Medical Equipment & Medical Supplies | 7324 N Western Ave, Chicago, IL 60645-1814 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
| 1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
| 1710162862 | Wise Behavioral Health Services Ltd | Psychologist | 9012 S Crandon Ave, Chicago, IL 60617-3807 | 2008-01-08 |
| 1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
| 1982803219 | Institute for Behavioral Health | Psychologist | 4250 N Marine Dr Apt 1521, Chicago, IL 60613-1714 | 2007-07-17 |
| 1982808655 | Acorn Rehab Services Ltd | Psychologist | 4639 W Washington Blvd, Chicago, IL 60644-3618 | 2007-06-14 |
| 1013932748 | South Shore Lake Front Services, Inc | Psychologist | 2619 E 75th St # 21, Chicago, IL 60649-3705 | 2006-07-13 |
| 1386671279 | South Haven Behavioral Modification II Inc | Psychologist | 448-454 E. 61st St, Chicago, IL 60637 | 2006-06-27 |
| 1760436398 | Associated Behavioral Consultants, Inc | Psychologist | 4835 W Irving Park Rd, Chicago, IL 60641-2719 | 2006-05-19 |
| 1881643906 | Lakeshorehealthcare | Psychologist | 4444 W Montrose Ave, Chicago, IL 60641-2023 | 2006-05-08 |
| 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.