DR. MARILYN M DEBOER (NPI# 1649493586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649493586 |
| Entity Type | Individual |
| Full Name | DR. MARILYN M DEBOER |
| Credential | PH.D. |
| Practice Address |
1306 Waukegan Rd #201 Glenview IL 60025-3072 |
| Mailing Address |
829 Ridge Ter Evanston IL 60201-2429 |
| Practice Telephone | 8479010909 |
| Practice Fax Number | 8479010910 |
| Mailing Telephone | 8478694270 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.004805 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NEUROFEEDBACK | 458586 | 01 |
| Street Address |
1306 WAUKEGAN RD #201 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366831398 | Erin Haddock | Recreation Therapist | 1306 Waukegan Rd, Suite 205, Glenview, IL 60025-3072 | 2015-01-14 |
| 1104267772 | Jean S Newton | Psychologist | 1306 Waukegan Rd, Suite 201, Glenview, IL 60025-3072 | 2013-07-11 |
| 1952524431 | The Discovery Clinic, Inc. | Clinic/Center | 1306 Waukegan Rd, #210, Glenview, IL 60025-3072 | 2007-04-11 |
| 1598988446 | Ann Rochelle Richman | Speech-Language Pathologist | 1306 Waukegan Rd, #201, Glenview, IL 60025-3072 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1740797760 | Rachana D Doshi | Psychologist | 3065 Dell Pl, Glenview, IL 60025-2683 | 2017-12-29 |
| 1063789618 | Stacey P Filerman | Psychologist | 3633 W Lake Ave Ste 406, Glenview, IL 60026-5804 | 2011-11-28 |
| 1467573022 | Richard James Robertson | Psychologist | 1352 Sanford Ln, Glenview, IL 60025-3165 | 2007-04-02 |
| 1679606305 | Heidi Moss Rosenberg | Psychologist | 115 Dartmouth Ct, Glenview, IL 60026-5914 | 2007-03-13 |
| 1013046481 | Diane Selinger | Psychologist | 1330 Sherwood Rd, Glenview, IL 60025-2370 | 2007-03-03 |
| 1922162239 | Glenn S. Gurewitz | Psychologist | 1701 E Lake Ave, Suite 205, Glenview, IL 60025-2065 | 2006-12-21 |
| 1063575728 | Pamela Antell | Psychologist | 1701 E Lake Ave Ste 250, Glenview, IL 60025-2037 | 2006-12-17 |
| 1083607303 | Mary Kay Pribyl | Psychologist | 2222 Chestnut Ave, Suite 303, Glenview, IL 60026-1674 | 2005-08-23 |
| 1326655127 | Kelly Amrhein, Phd, Pllc | Psychologist | 31 Washington St, Glenview, IL 60025-5023 | 2020-09-25 |
| Find all providers in GLENVIEW | ||||
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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.