GENESIS GUADALUPE GALAN CRUZ (NPI# 1366077877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366077877 |
| Entity Type | Individual |
| Full Name | GENESIS GUADALUPE GALAN CRUZ |
| Practice Address |
333 N La Grange Rd La Grange Park IL 60526-5646 |
| Mailing Address |
333 N La Grange Rd Ste 1 La Grange Park IL 60526-5653 |
| Practice Telephone | 7087455277 |
| Mailing Telephone | 7087455277 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7634 Lavergne Ave, Burbank, IL 604591525 | 7738760593 |
| Street Address |
333 N LA GRANGE RD |
| City | LA GRANGE PARK |
| State | IL |
| Zip Code | 60526-5646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427188788 | Mary Ann Noonan | Nurse Practitioner | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2007-03-06 |
| 1356811541 | Oletha Styles | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-11-29 |
| 1649787169 | Aileen Ruth Mikula | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-01-05 |
| 1619484185 | Kendra Wilson | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-01-05 |
| 1497284103 | Joseph John Ordman | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2017-06-06 |
| 1346785425 | Deborah M Spears | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2016-12-28 |
| 1235580382 | Michael B Byars Sr. | Counselor | 333 N La Grange Rd, Suite 1, La Grange Park, IL 60526-5646 | 2016-06-29 |
| 1073963419 | Pierre Walters | Counselor | 333 N La Grange Rd, Suite One, La Grange Park, IL 60526-5646 | 2016-06-16 |
| 1114373495 | Michelle Moore | Student in an Organized Health Care Education/Training Program | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2016-05-05 |
| 1356702666 | David Li | Counselor | 333 N La Grange Rd, Suite One, La Grange Park, IL 60526-5646 | 2016-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944344 | Emily Patricia Monteagudo Crohn | Speech-Language Pathologist | 901 Forest Rd, La Grange Park, IL 60526 | 2013-12-11 |
| 1821334830 | Erelin M Deang | Behavioral Analyst | 306 N. Kensington Ave., La Grange Park, IL 60526 | 2012-12-19 |
| 1013168129 | Regan Thompson | Specialist | 11 Garden Drive #4, La Grange Park, IL 60526 | 2008-10-07 |
| 1437379724 | Manuel A.malicay Md Sc | Internal Medicine | 430 N. Sherwood Road, La Grage Park, IL 60526 | 2007-04-27 |
| 1790861383 | Pinnacle Healthcare of La Grange | Skilled Nursing Facility | 701 N La Grange Rd, La Grange Park, IL 60526 | 2006-10-27 |
| 1285681734 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 507 Woodlawn Dr, La Grange Park, IL 60526 | 2006-05-30 |
| 1386606713 | John T Polacek | Dentist | 539 N La Grange Road, La Grange Park, IL 60526 | 2006-04-03 |
| 1326526534 | Samantha L Ylagan | Occupational Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-07-31 |
| 1396236139 | Mary B Cipolla | Physical Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-05-29 |
| 1376738823 | Francis James Di Iorio | Chiropractor | 48 E 31st St, La Grange Park, IL 60526 | 2007-09-07 |
| Find all providers in zip 60526 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391207 | Bernadette Anne Saaby | Counselor | 1433 Forest Rd, La Grange Park, IL 60526-1120 | 2019-08-15 |
| 1134651870 | James Patrick Franko | Counselor | 610 N Catherine Ave, La Grange Park, IL 60526-5602 | 2017-03-31 |
| 1255880050 | Jon Bruce | Counselor | 333 N. La Grange Road, Village Market, La Grange Park, IL 60526-2539 | 2016-09-22 |
| 1043607880 | Daryan Coleman | Counselor | 333 N La Grange Rd Ste 1, La Grange Park, IL 60526-5653 | 2015-04-20 |
| 1003115460 | Erin Michelle Mooney-simkus | Counselor | 1224 Robinhood Ln, La Grange Park, IL 60526-5313 | 2011-03-23 |
| 1356811541 | Oletha Styles | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-11-29 |
| 1649787169 | Aileen Ruth Mikula | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-01-05 |
| 1619484185 | Kendra Wilson | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2018-01-05 |
| 1497284103 | Joseph John Ordman | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2017-06-06 |
| 1346785425 | Deborah M Spears | Counselor | 333 N La Grange Rd, La Grange Park, IL 60526-5646 | 2016-12-28 |
| Find all providers in LA GRANGE PARK | ||||
| City | LA GRANGE PARK |
| Zip Code | 60526 |
Please comment or provide details below to improve the information on GENESIS GUADALUPE GALAN CRUZ.
| 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.