ANDRE D NEWSOME (NPI# 1568982809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568982809 |
| Entity Type | Individual |
| Full Name | ANDRE D NEWSOME |
| Credential | MS, MS, MHS, CADC |
| Practice Address |
1100 W Cermak Rd Chicago IL 60608-4500 |
| Practice Telephone | (312) 568-7051 |
| Mailing Telephone | 3125687051 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 273984627001 | 05 |
| Street Address |
1100 W CERMAK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736601 | Kimberly A Williams | Family Medicine | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2006-05-15 |
| 1396388633 | James Peek | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2019-10-18 |
| 1306363445 | Willie Hall | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-08-29 |
| 1376063628 | Vanessa Robinson Wilkes | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1821535618 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd, Suite B414, Chicago, IL 60608-4500 | 2017-01-31 |
| 1518400308 | Crystal Smith | Nurse Practitioner | 1100 W Cermak Rd, Ste. C-119, Chicago, IL 60608-4500 | 2016-11-28 |
| 1013310382 | Umeko Jones | Nurse Practitioner | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2014-10-01 |
| 1144568072 | Housecall Physicians of Illinois | Nurse Practitioner | 1100 W Cermak Rd, Suite C-500, Chicago, IL 60608-4500 | 2013-01-28 |
| 1194008425 | Kenyatta Evans-snulligan | Clinical Nurse Specialist | 1100 W Cermak Rd, Cuite C119, Chicago, IL 60608-4500 | 2011-09-22 |
| 1669517504 | Jose L Jimenez | Psychologist | 1100 W Cermak Rd, Suite B-305 Unit 1, Chicago, IL 60608-4500 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| 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.