DEBORAH A MACH (NPI# 1558978189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558978189 |
Entity Type | Individual |
Full Name | DEBORAH A MACH |
Practice Address |
621 Rollingwood Dr Shorewood IL 60404-0665 |
Mailing Address |
350 E Washington St Joliet IL 60433-1150 |
Practice Telephone | 7085170320 |
Practice Fax Number | 8157257550 |
Mailing Telephone | 8157255188 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
178.015442 | IL | Behavioral Health & Social Service Providers |
Street Address |
621 ROLLINGWOOD DR |
City | SHOREWOOD |
State | IL |
Zip Code | 60404-0665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043435910 | Robert Laib II | Counselor | 621 Rollingwood Dr, Shorewood, IL 60431-0665 | 2007-04-16 |
1316359318 | Kristen Mahar | Counselor | 621 Rollingwood Dr, Shorewood, IL 60404-0665 | 2014-05-24 |
1114244506 | Kristi Linke | Counselor | 621 Rollingwood Dr, Shorewood, IL 60404-0665 | 2010-04-26 |
1942419254 | Laureene Ellen Fischer | Social Worker | 621 Rollingwood Dr, Shorewood, IL 60431-0665 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
Find all providers in zip 60404 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
1629604277 | 360 Wellness | Counselor | 700 W Jefferson St Ste 2, Shorewood, IL 60404-7603 | 2020-03-16 |
1225505076 | Michelle Fahrnow | Counselor | 4601 N Oakland Ave Ste 221, Shorewood, WI 53211-1232 | 2018-10-30 |
1477939239 | Erin Olson | Counselor | 2321 E Capitol Dr Ste 500, Shorewood, WI 53211-2119 | 2015-08-04 |
1528452059 | Lashonda Miranda | Counselor | 1610 E Beverly Rd, Shorewood, WI 53211-2205 | 2015-03-23 |
1013307586 | Dawn M Kusinski | Counselor | 863 Center Ct Unit A, Shorewood, IL 60404-8512 | 2015-02-04 |
1780950774 | Mary Ellen Rooney | Counselor | 620 Parkshore Dr, Shorewood, IL 60404-9752 | 2012-03-24 |
1043435910 | Robert Laib II | Counselor | 621 Rollingwood Dr, Shorewood, IL 60431-0665 | 2007-04-16 |
1467542829 | Cecelia Mary Vanover | Counselor | 410 Shady Ln, Shorewood, IL 60431-9782 | 2006-10-13 |
1700398922 | Omnis Counseling | Counselor | 863 Center Ct Unit A, Shorewood, IL 60404-8512 | 2017-10-27 |
Find all providers in SHOREWOOD |
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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.