MONICA MICHELLE BULLOCK


Address: 1535 Lake Cook Rd, Suite 303, Northbrook, IL 60062-1447
Phone: 3125726120

MONICA MICHELLE BULLOCK (NPI# 1629315288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629315288
Entity Type Individual
Full Name MONICA MICHELLE BULLOCK
Credential LCPC
Practice Address 1535 Lake Cook Rd
Suite 303
Northbrook
IL 60062-1447
Mailing Address 6441 W Warner Ave Apt 308
Chicago
IL 60634-6227
Practice Telephone 3125726120
Practice Fax Number 8475599428
Enumeration Date 2013-01-15
Last Update Date 2015-02-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.009519 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LCPC 180.009519 01

Other Providers MONICA BULLOCK

NPI Name Taxonomy Address Enumeration
1619409232 Monica Bullock Family Medicine 200 1st St Sw, Rochester, MN 55905-0001 2017-04-02

Office Location

Street Address 1535 LAKE COOK RD
SUITE 303
City NORTHBROOK
State IL
Zip Code 60062-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306849252 Steven Neal Kacel Dentist 1535 Lake Cook Rd, Ste 107, Northbrook, IL 60062-1450 2005-05-24
1841736402 Audrey Grunst Lcsw Counselor 1535 Lake Cook Rd, Sute 303, Northbrook, IL 60062-1447 2017-01-06
1801339684 Anna Lynn Kreiser Dietitian, Registered 1535 Lake Cook Rd, Suite 303, Northbrook, IL 60062-1447 2016-11-28
1528476694 Jennifer Mandell Specialist 1535 Lake Cook Rd, 112, Northbrook, IL 60062-1447 2014-08-01
1003248378 Break4health Health Maintenance Organization 1535 Lake Cook Rd, #112, Northbrook, IL 60062-1447 2013-08-08
1164768073 Jill Perez Counselor 1535 Lake Cook Rd, Northbrook, IL 60062-1447 2012-12-20
1740540178 Michael A. Epstein Md Sc Specialist 1535 Lake Cook Rd, Suite 211, Northbrook, IL 60062-1447 2012-05-18
1558629212 David I. Rosen, M.d. Ltd Internal Medicine 1535 Lake Cook Rd, 401, Northbrook, IL 60062-1447 2012-05-01
1184934523 Beth W. Ross Counselor 1535 Lake Cook Rd, Suite 111, Northbrook, IL 60062-1447 2010-10-19
1215258405 Jennie Ozan Psychologist 1535 Lake Cook Rd, Suite 303, Northbrook, IL 60062-1447 2010-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083240410 Maribeth Gomez Germino Counselor 4201 Lake Cook Rd, Northbrook, IL 60062-1060 2020-03-17
1295389948 Alice Shierk-booth Counselor 3000 Dundee Rd Ste 311, Northbrook, IL 60062-2434 2019-07-31
1457853558 Barbara Dianne Demetrius-lallas Counselor 1859 Penfold Pl, Northbrook, IL 60062-6034 2018-03-05
1174032007 Melissa Martin Counselor 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 2017-09-22
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1104360080 Pamela Matos Counselor 3100 Dundee Rd Ste 101, Northbrook, IL 60062-2462 2016-12-12
1811374960 Aaron Marsh Counselor 155 Revere Dr Ste 11, Northbrook, IL 60062-1558 2015-04-28
1811315526 Tracy K Durkan Counselor 1535 Lake Cook Rd Ste 303, Northbrook, IL 60062-1452 2014-03-31
1780029652 Jennifer Welbel Counselor 1500 Skokie Blvd Ste 305, Northbrook, IL 60062-4114 2013-05-06
1477852341 Jane Ward Carlton Counselor 1363 Shermer Rd Ste 313, Northbrook, IL 60062-4575 2011-03-17
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Competitor

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City NORTHBROOK
Zip Code 60062

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Dataset Information

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.

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