LISA ANNE BONG (NPI# 1396132510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396132510 |
| Entity Type | Individual |
| Full Name | LISA ANNE BONG |
| Credential | LCSW |
| Practice Address |
787 Euclid Ave Glen Ellyn IL 60137-3866 |
| Practice Telephone | 6309622515 |
| Mailing Telephone | 6309622515 |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
149004363 | IL | Behavioral Health & Social Service Providers |
| Street Address |
787 EUCLID AVE |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1467639229 | Amy Melissa Schillinger | Counselor | 346 Taft Ave Ste 30, Glen Ellyn, IL 60137-6296 | 2008-01-23 |
| 1558545244 | Catherine Frances Humpherys | Counselor | 45 South Blvd, Ste 255, Glen Ellyn, IL 60137 | 2007-12-18 |
| 1326268855 | Shaulee Kaye Curtis | Counselor | 45 S Park Blvd Ste 255, Glen Ellyn, IL 60137-6282 | 2007-04-26 |
| 1619008802 | Jennifer Gresko | Counselor | 460 N Main St Ste 205, Glen Ellyn, IL 60137-5176 | 2007-03-08 |
| 1902946619 | Clairmarie Barker Szopa | Counselor | 500 Roosevelt Rd, Suite 201, Glen Ellyn, IL 60137-2600 | 2007-02-08 |
| 1760536189 | Liliana K Popovic | Counselor | 500 Roosevelt Rd Ste 500, Glen Ellyn, IL 60137-2600 | 2007-01-23 |
| 1881775294 | Miriam Paull-binette | Counselor | 739 Roosevelt Rd Bldg 7 Suite 115, Glen Ellyn, IL 60137-5877 | 2006-10-19 |
| 1578668521 | Karen Theresa Watkins | Counselor | 346 Taft Ave, Suite 030, Glen Ellyn, IL 60137-6296 | 2006-09-14 |
| 1508483926 | Myles Godshall Van Camp | Counselor | 45 S Park Blvd Ste 200, Glen Ellyn, IL 60137-6282 | 2020-07-01 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on LISA ANNE BONG.
| 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.