MR. STAVONE MCHERRON


Address: 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257
Phone: 7087400177

MR. STAVONE MCHERRON (NPI# 1487157913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487157913
Entity Type Individual
Full Name MR. STAVONE MCHERRON
Practice Address 3420 Fountainbleau Dr
Hazel Crest
IL 60429-2257
Mailing Address 3011 183rd St Ste 376
Homewood
IL 60430-2804
Practice Telephone 7087400177
Mailing Telephone 7087400177
Enumeration Date 2018-03-12
Last Update Date 2018-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor IL Other Service Providers
N 172A00000X Driver IL Other Service Providers

Office Location

Street Address 3420 FOUNTAINBLEAU DR
City HAZEL CREST
State IL
Zip Code 60429-2257

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917987 Nancy Sinwelski Technician 17305 Fisk Street, East Hazelcrest, IL 60429 2019-11-21
1144720871 Plentiful Hair Studio LLC Specialist 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 2018-02-19
1376052142 Natalie Allen Counselor 3518 Birchwood Dr, Hazel Crest, IL 60429 2017-09-25
1730534009 Lydena Franklin Counselor 1909 Cheker Square, East Hazel Crest, IL 60429 2016-04-25
1710331053 Lauiren Orta Counselor 1901 Cheker Square, E Hazel Crest, IL 60429 2016-04-22
1427423367 Andrea Leigh Warren Nurse Practitioner 17800 S. Kedzie Ave, Hazel Crest, IL 60429 2015-12-03
1770969354 Karriem's Developmental Services Day Training, Developmentally Disabled Services 18513 River Road, Hazel Crest, IL 60429 2015-08-05
1073905170 James Kamper Physical Therapy Assistant 1816 W 170th Street, Hazel Crest, IL 60429 2015-02-26
1194066019 Marilyn C Scott Psychologist 18505 Meadow Ln., Hazel Crest, IL 60429 2013-03-04
1649548405 Supported Independence Community/Behavioral Health 17009 Elm Drive, Hazel Crest, IL 60429 2011-12-08
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356958607 Letisha Smith Contractor 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 2020-09-29
1184249088 Yanko I Stoykov Contractor 1807 W Locust Ln, Mt Prospect, IL 60056-4405 2020-06-16
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245864784 Kendall Divante Leonard Contractor 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 2020-02-24
1477185379 Azar Garayev Contractor 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 2020-02-07
1578031183 Yesenia Servin Contractor 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 2018-11-13
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1225528524 Tara Rada Nieberding Contractor 1701 Quincy Ave Ste 12, Naperville, IL 60540 2018-05-14
1710482542 Lanisha Blockmon Contractor 8214 S Evans Ave, Chicago, IL 60619-5306 2018-03-25
1063911311 Aaron Robert Cundall Contractor 107 Northview Dr, Collinsville, IL 62234-4746 2018-02-01
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Competitor

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City HAZEL CREST
Zip Code 60429

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Dataset Information

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.

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