STEPHANIE RUSSO (NPI# 1376671727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376671727 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUSSO |
| Credential | LCPC |
| Practice Address |
18640 W. Belvidere Road Grayslake IL 60030 |
| Practice Telephone | 8475486000 |
| Practice Fax Number | 8475486040 |
| Mailing Telephone | 8475486000 |
| Mailing Fax Number | 8475486040 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904730 | Stephanie Russo | Rehabilitation Practitioner | 13950 Milton Ave Ste 306, Westminster, CA 92683-2939 | 2009-07-10 |
| 1689797433 | Stephanie Halliday Russo | Massage Therapist | 2301 Elm Street, Bellingham, WA 98225 | 2007-04-09 |
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1740250034 | Stephanie M Russo | Psychologist | 1 Davis Rd Suite 235, Valley Forge, PA 19482 | 2006-01-26 |
| 1952843674 | Stephanie Russo | Social Worker | 1715 E Cedar St Ste 115, Olathe, KS 66062-1791 | 2016-11-11 |
| 1750794673 | Stephanie Ann Russo | Student in an Organized Health Care Education/Training Program | 201 State St, 201 State Street, Erie, PA 16550-0001 | 2014-06-09 |
| 1114212537 | Stephanie Russo | Audiologist | 18 Westage Business Ctr Dr, Fishkill, NY 12524-2219 | 2011-06-14 |
| Street Address |
18640 W. BELVIDERE ROAD |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218199 | Jacqueline Pearson Smith | Counselor | 18640 W. Belvidere Road, Grayslake, IL 60030 | 2014-09-19 |
| 1104946920 | Thomas Schreiner | Social Worker | 18640 W. Belvidere Road, Grayslake, IL 60030 | 2007-03-29 |
| 1093845125 | Jody Springer | Social Worker | 18640 W. Belvidere Road, Grayslake, IL 60030 | 2007-03-07 |
| 1649308636 | Amy Luetke | Social Worker | 18640 W. Belvidere Road, Grayslake, IL 60030 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1265813596 | Krista Jackson | Counselor | 419 Center St Ste C, Grayslake, IL 60030-1645 | 2015-06-11 |
| 1962816967 | Ronald Ray Bristow | Counselor | 888 E Belvidere Rd, Suite 319, Grayslake, IL 60030-2568 | 2014-06-17 |
| 1376977546 | Megan Blazek | Counselor | 18859 W Maple Ave, Grayslake, IL 60030-2536 | 2013-08-24 |
| 1043570237 | Lisa Raddatz | Counselor | 214 Siwiha Dr, Grayslake, IL 60030-1444 | 2012-05-21 |
| 1831499052 | Eauly Brautigam | Counselor | 18640 Belvidere Road, Grayslake, IL 60030 | 2010-10-22 |
| 1568502227 | James M. Veltman | Counselor | 100 N. Atkinson Road, Suite 112-f, Grayslake, IL 60030 | 2007-02-08 |
| 1083672034 | Robert Flynn | Counselor | 205 Commerce Dr Ste C, Grayslake, IL 60030-1646 | 2006-05-01 |
| 1003388034 | Garrison Counseling LLC | Counselor | 205 Commerce Dr Ste C, Grayslake, IL 60030-1646 | 2019-01-02 |
| 1992239396 | Onward Counseling Center | Counselor | 888 E Belvidere Rd, Ste 319, Grayslake, IL 60030-2568 | 2017-04-12 |
| Find all providers in GRAYSLAKE | ||||
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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.