MS. DIANE MARIE GILLIARD (NPI# 1609984285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609984285 |
Entity Type | Individual |
Full Name | MS. DIANE MARIE GILLIARD |
Credential | LCPC, CADC |
Practice Address |
120 S Marion St 4th Floor Oak Park IL 60302-2809 |
Mailing Address |
714 S Fairfield Ave Lombard IL 60148-3504 |
Practice Telephone | 7084063105 |
Mailing Telephone | 6306204327 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13726 | IL | Behavioral Health & Social Service Providers |
X | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
Street Address |
120 S MARION ST 4TH FLOOR |
City | OAK PARK |
State | IL |
Zip Code | 60302-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160727 | Brooke Marie Fadanelli | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-10-01 |
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 |
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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 | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538778865 | Michael Blake Stuart | Counselor | 510 Savona Way, Oak Park, CA 91377-4841 | 2020-07-22 |
1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
1992241087 | Tiffany Mcfarland | Counselor | 141 Wesley Ave, Oak Park, IL 60302-2907 | 2017-01-12 |
1205259686 | Ewa Susman | Counselor | 1022 Forest Ave, Oak Park, IL 60302-1312 | 2014-01-21 |
1245503655 | Steven Max Haught | Counselor | 1145 S East Ave, #1, Oak Park, IL 60304-2105 | 2012-02-15 |
1285953505 | Keith Ross | Counselor | 21602 Stratford Ct, Oak Park, MI 48237-2509 | 2010-05-26 |
1982938833 | Marjorie Johnson | Counselor | 942 Ontario St, Oak Park, IL 60302-1913 | 2009-09-24 |
1073777082 | Susan Agruss | Counselor | 1100 Lake St Ste 201, Oak Park, IL 60301-1028 | 2008-07-18 |
1659548212 | Darryl Vincent Allen | Counselor | 13701 Oak Park Blvd, Oak Park, MI 48237-2080 | 2008-05-13 |
1134319643 | Goso Consulting, Inc. | Counselor | 1111 Westgate Suite 116, Oak Park, IL 60301 | 2007-07-31 |
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.