STONYBROOK CENTER (NPI# 1629374566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629374566 |
| Entity Type | Organization |
| Organization Name | STONYBROOK CENTER |
| Practice Address |
1506 E Roosevelt Rd Wheaton IL 60187-6806 |
| Practice Telephone | 6302211400 |
| Practice Fax Number | 6302211411 |
| Mailing Telephone | 6302211400 |
| Mailing Fax Number | 6302211411 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2017-10-27 |
| Authorized Official Name | CHARLES FRANCIS WALTER (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 6302211400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-8645-0002-A | IL | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | A-8645-0001-A | IL | Ambulatory Health Care Facilities |
| Street Address |
1506 E ROOSEVELT RD |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669595070 | Katherine Dolores Schilder | Nurse Practitioner | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2007-04-09 |
| 1831709492 | Stonybrook Center Inc. | Clinic/Center | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2020-08-07 |
| 1588139844 | Melody Linnear | Counselor | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2018-10-12 |
| 1174058564 | Joi Henry | Registered Nurse | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2017-04-24 |
| 1184178824 | Julia Crowell | Counselor | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2016-08-11 |
| 1215199583 | Terry H Goff | Family Medicine | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2008-06-27 |
| 1982864377 | James W. Erlenborn | Internal Medicine | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2008-06-10 |
| 1619136439 | Panagiotis John Floros | Internal Medicine | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866410 | New Day Wellness Center, LLC | Clinic/Center | 600 S County Farm Rd Ste 204, Wheaton, IL 60187-4575 | 2017-12-12 |
| 1992906069 | First Chiropractic LLC | Clinic/Center | 11302 Veirs Mill Road, Wheaton, MD 20902-2557 | 2007-05-29 |
| 1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
| 1326357500 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
| 1609185875 | Avanti Medical Group of Illinois LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
| 1720238587 | Eric A. Oristian, Md, P C | Clinic/Center | 2730 University Blvd W, Ste 216, Wheaton, MD 20902-1905 | 2008-09-29 |
| 1295981264 | B E Williamson Dc PC | Clinic/Center | 100 W Roosevelt Rd, Suite A4-104, Wheaton, IL 60187-5260 | 2008-08-11 |
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
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| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.