AFG GUIDANCE CENTER KENILWORTH, INC. (NPI# 1518237528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518237528 |
| Entity Type | Organization |
| Organization Name | AFG GUIDANCE CENTER KENILWORTH, INC. |
| Practice Address |
444 Green Bay Rd Kenilworth IL 60043-1001 |
| Practice Telephone | 8478530234 |
| Practice Fax Number | 8478530230 |
| Mailing Telephone | 8478530234 |
| Mailing Fax Number | 8478530230 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | DR. ALFREDA FALKOWSKA-GROSRENAUD (PRESIDENT) |
| Authorized Official Telephone | 7735105013 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
036092952 | IL | Ambulatory Health Care Facilities |
| Street Address |
444 GREEN BAY RD |
| City | KENILWORTH |
| State | IL |
| Zip Code | 60043-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346573029 | Kimberly Ann Mula | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2009-09-11 |
| 1407474216 | Ben Spanner | Counselor | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-07-08 |
| 1821623372 | Morgan Anne Lasley | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-03-05 |
| 1376050120 | Neal Singh Paul | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2018-01-02 |
| 1730513821 | Seth Preminger | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2013-08-26 |
| 1891129227 | Anthony Juliano | Counselor | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2013-08-21 |
| 1699018317 | Birju Patel | Psychiatry & Neurology | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2013-04-01 |
| 1497078794 | Elena B. Labkovsky | Clinical Neuropsychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982945697 | Monica Joyce | Dietitian, Registered | 9812 S Damen, Chicago, IL 60043 | 2013-03-05 |
| 1285968115 | Danette Tiarrizzo Palomar | Counselor | 444 Greenbay Road, Kenilworth, IL 60043 | 2009-09-24 |
| 1730392614 | Paige B Turner | Marriage & Family Therapist | 503 Park Drive, Kenilworth, IL 60043 | 2007-05-08 |
| 1679671655 | Arthur B. Carpenter | Dentist | 450 A Green Bay Rd, Kenilworth, IL 60043 | 2006-09-21 |
| 1629176003 | Geoffrey C Fenner | Plastic Surgery | 512 Green Bay Road, Kenilworth, IL 60043 | 2006-09-20 |
| 1891857546 | Miriam Levitan Dani | Dentist | 432 Green Bay Rd, Kenilworth, IL 60043-1001 | 2006-12-15 |
| 1295359586 | Paldin Yousef | Dentist | 432 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-06-02 |
| 1962403212 | Gastroenterology Consultants of The North Shore | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-09 |
| 1013195650 | Jonathan F Williams | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2008-02-06 |
| 1962495200 | Manoj Kumar Mehta | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-23 |
| Find all providers in zip 60043 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1295379972 | Compass Health Center Oakbrook Pllc | Clinic/Center | 700 Oakmont Ln, Westmont, IL 60559-5551 | 2019-11-05 |
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| 1720629041 | Monte Nido Illinois, LLC | Clinic/Center | 27w121 80th St, Naperville, IL 60565-1270 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | KENILWORTH |
| Zip Code | 60043 |
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| 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.