VERONICA GULEZIAN


Address: 8707 Fullerton Ave, River Grove, IL 60171-1831
Phone: 7084028221

VERONICA GULEZIAN (NPI# 1497100770) 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) 1497100770
Entity Type Individual
Full Name VERONICA GULEZIAN
Credential LCPC, CADC
Practice Address 8707 Fullerton Ave
River Grove
IL 60171-1831
Practice Telephone 7084028221
Enumeration Date 2016-04-25
Last Update Date 2019-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180012125 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
425 Huehl Rd, #19b, Northbrook, IL 600622319 8472050371

Office Location

Street Address 8707 FULLERTON AVE
City RIVER GROVE
State IL
Zip Code 60171-1831

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NPI Name Taxonomy Address Enumeration
1023496395 Danuta B Superson Massage Therapist 8364 W Grand Ave, River Grove, IL 60171 2015-05-07
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1235327941 S. David Demorest Clinic/Center 8383 Belmont Avenue, River Grove, IL 60171 2007-10-09
1568527661 River Grove Clinic Family Medicine 8383 N Belmont, River Grove, IL 60171 2006-12-27
1972533081 Village of River Grove Ambulance 2601 Thatcher, River Grove, IL 60171 2006-07-04
1831687680 Matthew L Garstki Physical Therapist 8937 Grand Ave, River Grove, IL 60171 2018-04-27
1720509458 Grant Thomas Miller Optometrist 8362 Grand Ave, River Grove, IL 60171 2017-07-03
1386022549 Izabela S Fratczak Massage Therapist 8364 Grand Ave, River Grove, IL 60171 2015-05-08
1568431377 Michael Dean Dralle Specialist/Technologist 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 2006-03-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1831798404 Erin Frasco Counselor 622 Davis St # 200, Evanston, IL 60201-4491 2020-10-23
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Competitor

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City RIVER GROVE
Zip Code 60171

Improve Information

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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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