DR. RONALD WALTER BRAASCH JR. (NPI# 1316056518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316056518 |
| Entity Type | Individual |
| Full Name | DR. RONALD WALTER BRAASCH JR. |
| Credential | PH.D. |
| Practice Address |
3001 Green Bay Road Building 11 North Chicago IL 60064 |
| Mailing Address |
301 N Maple Ave Elmhurst IL 60126-2332 |
| Practice Telephone | 8476881900 |
| Practice Fax Number | 2246103778 |
| Mailing Telephone | 8476881900 |
| Mailing Fax Number | 2246103778 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
IL | Behavioral Health & Social Service Providers |
| Street Address |
3001 GREEN BAY ROAD BUILDING 11 |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912964461 | Ron A Lepianka | Dentist | 3001 Green Bay Road, North Chicago, IL 60064 | 2006-04-27 |
| 1992261366 | Ariela Yasova-zaffos | Psychologist | 3001 Green Bay Road, 16b (b7, Room 224), North Chicago, IL 60004 | 2019-02-11 |
| 1235685801 | Benjamin Schwabe | Dentist | 3001 Green Bay Road, Captain James A Lovell Fhcc, North Chicago, IL 60064 | 2016-09-01 |
| 1396115283 | Dominica Portman | Dentist | 3001 Green Bay Road, North Chicago, IL 60064 | 2015-10-05 |
| 1710309679 | Glenn Abelbert Coon IIi | Nurse Practitioner | 3001 Green Bay Road, North Chicago, IL 60064 | 2014-01-13 |
| 1194077750 | Vivian Ibe | Pharmacist | 3001 Green Bay Road, Dept. of Pharmacy, James A. Lovell Fed. Healthcare Ctr., North Chicago, IL 60064 | 2012-10-08 |
| 1326344730 | David Martin Garcia | Kinesiotherapist | 3001 Green Bay Road, North Chicago, IL 60064 | 2011-02-02 |
| 1508030073 | Erin M. Kelly | Dietitian, Registered | 3001 Green Bay Road, North Chicago, IL 60064 | 2008-04-16 |
| 1548452360 | Shaunte R Pohl | Pharmacist | 3001 Green Bay Road, North Chicago, IL 60064 | 2007-08-15 |
| 1922207489 | Howard Kyinwah Chey | Family Medicine | 3001 Green Bay Road, Captain James A. Lovell Fhcc, North Chicago, IL 60064 | 2007-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553748 | Malcolm Brown | Psychologist | 176 N Leclaire Ave, Chicago, IL 60644-3413 | 2018-09-25 |
| 1295226736 | Springpsych Services LLC | Psychologist | 30 N Michigan Ave Ste 529, Chicago, IL 60602-3491 | 2018-05-21 |
| 1265944029 | Jeanette Simon, Psy.d., C.a.d.c., LLC | Psychologist | 1100 Lake St Ste 210b, Oak Park, IL 60301-1015 | 2017-11-01 |
| 1962663120 | Heartland Alliance Health | Psychologist | 1207 W Leland, Chicago, IL 60640-6043 | 2008-06-20 |
| 1518974302 | Cheryl Denise Bristor | Psychologist | 3637 W 125th St, Alsip, IL 60803-1082 | 2006-08-02 |
| 1548284748 | Richard H. Hunter | Psychologist | 10202 Briggs Rd, Marion, IL 62959-5844 | 2006-07-27 |
| 1174014625 | Robert Scott Waller | Psychologist | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-05-21 |
| 1215465893 | All Medical, Inc. | Psychologist | 6412 27th St, Berwyn, IL 60402-2755 | 2017-05-26 |
| 1710364716 | Recovery Partners, P.C. | Psychologist | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-04-29 |
| 1922497429 | Robin Leigh Zoeller Pullman | Psychologist | 2570 Foxfield Rd Ste 107, Saint Charles, IL 60174-1406 | 2015-01-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.