MS. BREANNA JEAN CARLSON (NPI# 1326473950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326473950 |
| Entity Type | Individual |
| Full Name | MS. BREANNA JEAN CARLSON |
| Practice Address |
7000 N Mccormick Blvd Lincolnwood IL 60712-2726 |
| Mailing Address |
6301 N Sheridan Rd Apt 4v Chicago IL 60660-1728 |
| Practice Telephone | 8883250862 |
| Mailing Telephone | 2183484595 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851734172 | Breanna Kaitlyn Carlson | Occupational Therapist | 168 Beaconridge Dr, Bolingbrook, IL 60440-2936 | 2013-04-17 |
| 1316590607 | Breanna Carlson | Occupational Therapist | 4350 E Ray Rd Ste 101a, Phoenix, AZ 85044-4707 | 2019-07-17 |
| Street Address |
7000 N MCCORMICK BLVD |
| City | LINCOLNWOOD |
| State | IL |
| Zip Code | 60712-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828912 | Sl Lincolnwood LLC | Skilled Nursing Facility | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2005-08-11 |
| 1518587823 | Carrie Shacter | Speech-Language Pathologist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2020-04-16 |
| 1699334128 | Kathryn E. Bole | Occupational Therapist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2019-06-08 |
| 1447713276 | Dana Skrzypchak | Occupational Therapist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2019-04-09 |
| 1770077497 | Lidia Dajana Karpinski | Speech-Language Pathologist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-06-16 |
| 1700376761 | Jose David Obrien | Occupational Therapy Assistant | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-05-15 |
| 1649768367 | Jaimin Shah | Physical Therapist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-04-27 |
| 1346738663 | Erena Lee | Speech-Language Pathologist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-04-23 |
| 1962908400 | Kristin Svetic | Occupational Therapist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-04-03 |
| 1740786219 | Julie Cuba | Occupational Therapist | 7000 N Mccormick Blvd, Lincolnwood, IL 60712-2726 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1538652441 | Elysium Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712 | 2018-06-14 |
| 1851805253 | Jasmine Lukose | Nurse Practitioner | 6501 N. Lincoln Ave, Lincolnwood, IL 60712 | 2017-11-21 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1447640081 | Soghra Sorouri | Dentist | 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 | 2015-02-04 |
| 1164839239 | Sunrise Nursing & Rehabilitation Center | Skilled Nursing Facility | 7383 N Lincon Ave, Suite 100, Lincolnwood, IL 60712 | 2014-07-21 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1437430121 | Susan B Sorisho | Pharmacist | 7318 N East Prairie Rd, Lincolnwood, IL 60712 | 2011-09-08 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1134456064 | Leah Brennan | Marriage & Family Therapist | 6834 N. Lowell Ave., Lincolnwood, IL 60712 | 2009-11-13 |
| Find all providers in zip 60712 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720584 | Inspired Senior Healthcare, LLC | Assisted Living Facility | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712-1740 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
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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.