MR. ROBERT J BENNETT (NPI# 1518906718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518906718 |
| Entity Type | Individual |
| Full Name | MR. ROBERT J BENNETT |
| Credential | LICENSED SCHOOL PSYC |
| Practice Address |
2020 Greystem Circle Apt 104 Gurnee IL 60031-2197 |
| Practice Telephone | 8477040009 |
| Mailing Telephone | 8477040009 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180000475 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104333863 | Robert Bennett | Nurse Practitioner | 407 Ne Pecos Way, Jensen Beach, FL 34957-6692 | 2018-01-03 |
| 1619214087 | Robert David Bennett | Licensed Practical Nurse | 6162 Hollyberry Ln, Hamilton, OH 45011-5194 | 2013-01-05 |
| 1174892814 | Robert Bennett | Psychologist | 117 Tennessee Ave Ne, Washington, DC 20002-6425 | 2011-12-27 |
| 1740489426 | Robert Telford Bennett | Behavioral Analyst | 116 E Pierce St, Mangum, OK 73554-4295 | 2007-07-13 |
| 1760600761 | Robert Bennett | Counselor | 5909 South Santa Fe Drive, Littleton, CO 80120-2910 | 2007-04-23 |
| 1285786525 | Robert Russell Bennett | Chiropractor | 21885 Highway 62, Shady Cove, OR 97539 | 2007-01-17 |
| 1255498218 | Robert L Bennett IIi | Speech-Language Pathologist | 613 Winifred Rd, Leesburg, GA 31763-5342 | 2007-01-02 |
| 1508942491 | Robert C. Bennett | Dentist | 506 Marshall St, Mcmechen, WV 26040-1041 | 2006-10-31 |
| 1518906825 | Robert Daniel Bennett | Surgery | 300 N Highland Ave Ste 315, Sherman, TX 75092-7389 | 2006-06-05 |
| 1942271374 | Robert Campbell Bennett | Pathology | 1044 Belmont Ave., Pathology Consultants-credentialing, Youngstown, OH 44501-1790 | 2006-02-01 |
| Street Address |
2020 GREYSTEM CIRCLE APT 104 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894353 | The Wright Advocate LLC | Counselor | 1800 Nations Dr Ste 117, Gurnee, IL 60031-9171 | 2020-05-29 |
| 1164044798 | Pamela Vernon Stewart | Counselor | 6791 E Mount Vernon Ct, Gurnee, IL 60031-4034 | 2020-05-18 |
| 1699330084 | Mercedes Compton | Counselor | 1790 Nations Dr Ste 214, Gurnee, IL 60031-9176 | 2019-05-01 |
| 1023516010 | Harry Lee Speer | Counselor | 2079 Madison Ave, Gurnee, IL 60031-6300 | 2018-01-25 |
| 1952707051 | Lisa Alexoff | Counselor | 501 N Riverside Dr Ste 111, Gurnee, IL 60031-5918 | 2014-11-17 |
| 1457691651 | Erica Mcilveen | Counselor | 1125 Tri State Pkwy Ste 720, Gurnee, IL 60031-9177 | 2013-02-25 |
| 1548552078 | Lisa Nicklas | Counselor | 1790 Nations Dr Ste 116, Gurnee, IL 60031-9175 | 2011-05-02 |
| 1972837714 | Willie B Morhead | Counselor | 4220 Tiger Lily Ln, Unit 402, Gurnee, IL 60031-9630 | 2009-09-27 |
| 1811184955 | Ryan Troy Porter | Counselor | 5221 Fredrick Ct, A, Gurnee, IL 60031-6064 | 2007-10-03 |
| 1356562995 | Elizabeth Mika | Counselor | 1662 Vineyard Dr., Gurnee, IL 60031 | 2007-05-01 |
| Find all providers in GURNEE | ||||
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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.