CESIAH BANUELOS (NPI# 1417343666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417343666 |
| Entity Type | Individual |
| Full Name | CESIAH BANUELOS |
| Other Name | CESIAH MINERVA BANUELOS ROBLES |
| Credential | LCPC |
| Practice Address |
3600 W Fullerton Ave Chicago IL 60647-2319 |
| Mailing Address |
5006 N Hermitage Ave Apt 1e Chicago IL 60640-2733 |
| Practice Telephone | 7737822800 |
| Practice Fax Number | 7737729105 |
| Mailing Telephone | 7733100248 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180008957 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3600 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485379 | Jeanne S Findlay | Nurse Practitioner | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2005-05-27 |
| 1497379630 | Nora Vela | Dental Hygienist | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2020-06-03 |
| 1598398034 | Emmanuel Barron | Physician Assistant | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2020-02-12 |
| 1255970141 | Joann Reyes | Nurse Practitioner | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2019-12-25 |
| 1962049452 | Susely Guevara | Nurse Practitioner | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2019-12-04 |
| 1689142051 | Laboratory Corporation of America | Clinical Medical Laboratory | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2018-11-05 |
| 1922573112 | Infant Welfare Society of Chicago | Case Management | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2018-10-04 |
| 1619476116 | Xiomara Nieto | Nurse Practitioner | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2018-02-09 |
| 1063930907 | Jessica Espinosa | Nurse Practitioner | 3600 W Fullerton Ave, Chicago, IL 60647 | 2017-08-30 |
| 1851829287 | Marco Antonio Oviedo | Counselor | 3600 W Fullerton Ave, Chicago, IL 60647-2319 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CESIAH BANUELOS.
| 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.