INDEPENDENT PROVIDER (NPI# 1558718023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558718023 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PROVIDER |
| Practice Address |
3800 W 106th St Chicago IL 60655-3815 |
| Practice Telephone | 7737592403 |
| Mailing Telephone | 7737592403 |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2016-05-15 |
| Authorized Official Name | KATHLEEN MOLONEY (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 7737592403 |
| Authorized Official Credential | M.S. CF-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 242003723 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650163 | Independent Provider | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 E 248th St, Euclid, OH 44123-1437 | 2017-03-08 |
| 1285018572 | Independent Provider | Home Health | 4175 Arbury Lane, Columbus, OH 43224 | 2015-07-16 |
| 1699178723 | Independent Provider | Preferred Provider Organization | 5659 Troy Villa Blvd, Dayton, OH 45424-2645 | 2014-10-03 |
| 1023423571 | Independent Provider | Preferred Provider Organization | 3664 Larkwell Way, Columbus, OH 43232-3611 | 2014-06-24 |
| 1265627111 | Independent Provider | Licensed Vocational Nurse | 3277 Kady Ln, Columbus, OH 43232-7455 | 2007-09-12 |
| 1992910863 | Independent Provider | Respite Care | 308 W 1st St, Arcanum, OH 45304-1167 | 2007-05-13 |
| 1821217308 | Independent Provider | Exclusive Provider Organization | 2273 Newlove Rd, S Charleston, OH 45368-9732 | 2007-04-24 |
| Street Address |
3800 W 106TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60655-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632401 | Hillary Woodward Carroll | Nurse Practitioner | 3258 W 111th Chicago, Il, Chicago, IL 60655 | 2019-04-26 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1356700728 | Molly Samansky | Speech-Language Pathologist | 2549 W 106thh Pl, Chicago, IL 60655 | 2016-02-15 |
| 1134533615 | Axis Physical Medicine | Physical Therapist | 11005 S Kedzie Ave, Chicago, IL 60655 | 2014-06-12 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1962772921 | E.m. Branch and Associates, Inc | Social Worker | 3139 W. 111th Street, Chicago, IL 60655 | 2012-01-09 |
| 1922377951 | Patricia Murphy | Counselor | 10435 Kedzie Ave, Chicago, IL 60655 | 2011-12-20 |
| 1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
| 1265678544 | Lawrence Michael Furlan | Dentist | 10900 S Kedzie, Chicago, IL 60655 | 2008-12-17 |
| 1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
| Find all providers in zip 60655 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599446 | Kids Evolve Early Development LLC | Early Intervention Provider Agency | 6009 S Laflin St, Chicago, IL 60636-2309 | 2020-05-14 |
| 1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
| 1417587569 | Heartland Medical Care | Early Intervention Provider Agency | 30 S Wacker Dr Fl 22, Chicago, IL 60606-7452 | 2020-01-16 |
| 1083254874 | Play & Learn Developmental Company | Early Intervention Provider Agency | 4518 W Van Buren St, Chicago, IL 60624-3050 | 2020-01-09 |
| 1477193233 | Little Foot Therapy, Pllc | Early Intervention Provider Agency | 4430 N California Ave, Chicago, IL 60625-3804 | 2020-01-09 |
| 1699310342 | Play To Learn Therapy Inc | Early Intervention Provider Agency | 421 W Briar Pl Unit B, Chicago, IL 60657-4710 | 2019-11-16 |
| 1518517879 | Growing Kids Therapy | Early Intervention Provider Agency | 875 N Michigan Ave Fl 31, Chicago, IL 60611-1962 | 2019-09-18 |
| 1073165080 | Sdc Consulting, Corp | Early Intervention Provider Agency | 8855 S Merrill Ave, Chicago, IL 60617-3036 | 2019-07-10 |
| 1275028623 | Mya Novelle | Early Intervention Provider Agency | 1146 W Montana St Unit 305, Chicago, IL 60614-2221 | 2018-06-28 |
| 1588173397 | Crabtree Consulting of Illinois Inc | Early Intervention Provider Agency | 6632 N Sioux Ave, Chicago, IL 60646-2821 | 2017-09-25 |
| Find all providers in CHICAGO | ||||
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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.