BROOKE MARIE FADANELLI (NPI# 1578160727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578160727 |
| Entity Type | Individual |
| Full Name | BROOKE MARIE FADANELLI |
| Practice Address |
120 S Marion St Oak Park IL 60302-2809 |
| Practice Telephone | 7083837500 |
| Mailing Telephone | 7083837500 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH NUMBER | 14952842 | 01 |
| Street Address |
120 S MARION ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609984285 | Diane Marie Gilliard | Counselor | 120 S Marion St, 4th Floor, Oak Park, IL 60302-2809 | 2006-08-25 |
| 1578170015 | Daniel Talley | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
| 1558978080 | Aileen Apuli | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
| 1124635511 | Michelle B Dumbroff | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
| 1962019950 | Sarah Jean Allen | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-24 |
| 1053927996 | Janet Marie Mankoff | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-16 |
| 1295349538 | Angelique Bianca White-millwood | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-03 |
| 1881253979 | Cassandra Mcellen | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2019-06-12 |
| 1447713144 | Laura Nessler | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2019-04-09 |
| 1679046502 | Jennifer Duran | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1932739356 | Stacey Mandel Garfinkel | Counselor | 6128 Bryndale Ave, Oak Park, CA 91377-5846 | 2020-01-24 |
| 1609412956 | Mindful Consultation Inc. | Counselor | 1010 Lake St Ste 502a, Oak Park, IL 60301-1135 | 2019-11-21 |
| 1356824692 | Maxie Moses | Counselor | 1000 S Austin Blvd, Oak Park, IL 60304-2335 | 2018-09-12 |
| 1982128971 | Tn Harrison Therapeutics | Counselor | 1331 North Harlem Ave, 2f, Oak Park, IL 60302-6030 | 2017-08-01 |
| 1346772795 | Ashley Pinto | Counselor | 1101 Lake St Ste 404, Oak Park, IL 60301-1048 | 2017-04-03 |
| 1053778605 | Tone Sirbas | Counselor | 855 Lake St, Apt 412, Oak Park, IL 60301-1342 | 2016-01-26 |
| 1104292127 | Willie Mccullough | Counselor | 23751 Coyle St, Oak Park, MI 48237-1929 | 2015-08-13 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1821431628 | Your Choice | Counselor | 105 N Marion St, Suite 1, Oak Park, IL 60301-1075 | 2013-04-10 |
| Find all providers in OAK PARK | ||||
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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.