COMMUNITY SERVICE COUNCIL OF NORTHERN WILL COUNTY (NPI# 1316438831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316438831 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICE COUNCIL OF NORTHERN WILL COUNTY |
| Practice Address |
440 Quadrangle Dr Ste C Bolingbrook IL 60440-3455 |
| Practice Telephone | 8158865000 |
| Mailing Telephone | 8158865000 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | ROBERT KALNICKY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8158865000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
440 QUADRANGLE DR STE C |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232082 | Mandeep Mudhar | Counselor | 1782 Apple Valley Rd, Bolingbrook, IL 60490-4567 | 2019-02-21 |
| 1750732020 | Valerie Reimer | Counselor | 704 N Pinecrest Rd, Bolingbrook, IL 60440-1118 | 2016-06-28 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1134350366 | Nicolette Marie Bernhardt | Counselor | 197 N Vincent Dr, Bolingbrook, IL 60490-5594 | 2009-08-05 |
| 1760630917 | Cristina D. Stevens | Counselor | 308 Pacific Dr, Bolingbrook, IL 60440-2049 | 2008-08-29 |
| 1184802167 | Sandra Carlson & Associates | Counselor | 682 W Boughton Rd Ste D, Bolingbrook, IL 60440-2199 | 2008-02-01 |
| 1194859447 | Carla T Bader | Counselor | 682 W. Boughton Rd, Suite D, Bolingbrook, IL 60440 | 2007-03-16 |
| 1649349473 | Gail Maureen West Hooper | Counselor | 404 Boughton Road, B, Bolingbrook, IL 60440 | 2006-11-07 |
| 1376612168 | Sandra Elizabeth Carlson | Counselor | 682 W Boughton Rd, Unit D, Bolingbrook, IL 60440-5700 | 2006-11-07 |
| 1427137801 | Valleria Deanna Forney-williams | Counselor | 684 W Boughton Rd, Suite 201a, Bolingbrook, IL 60440-1781 | 2006-11-04 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on COMMUNITY SERVICE COUNCIL OF NORTHERN WILL COUNTY.
| 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.