MICHELLE BISTANY (NPI# 1467862508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467862508 |
| Entity Type | Individual |
| Full Name | MICHELLE BISTANY |
| Practice Address |
24647 North Milwaukee Avenue Vernon Hills IL 60061 |
| Mailing Address |
3010 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473777950 |
| Mailing Telephone | 8473778296 |
| Mailing Fax Number | 8479845689 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
24647 NORTH MILWAUKEE AVENUE |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| 1427371129 | Laurie Beth Alldredge | Pharmacist | 261 East Townline Rd, Vernon Hills, IL 60061 | 2010-03-09 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218067 | Happiness Fiyinfoluwa Oluwafemi | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2019-10-29 |
| 1750924353 | Kareema Ishaq Abdallah | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2019-10-26 |
| 1386180321 | Andrea Anderson | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2017-01-15 |
| 1366822983 | Aysha Azimuddin | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2015-06-09 |
| 1487908836 | Christina K. Cobb | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-11-07 |
| 1871869032 | Justin Baker | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-03-31 |
| 1619242245 | Kimberly Gaul | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-03-15 |
| 1316212251 | Ashley Heathere Kenniebrew | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-03-10 |
| 1811261845 | Julia Nichols | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-03-08 |
| 1437423662 | Amy Catherine Storm | Counselor | 24647 N Milwaukee Ave, Vernon Hills, IL 60061-1567 | 2012-03-06 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on MICHELLE BISTANY.
| 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.