ANDREA M VICTOR (NPI# 1659478949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659478949 |
| Entity Type | Individual |
| Full Name | ANDREA M VICTOR |
| Other Name | ANDREA M FOSCO |
| Credential | PHD |
| Practice Address |
4711 Golf Rd Suite 1100 Skokie IL 60076-1224 |
| Practice Telephone | 8477637958 |
| Mailing Telephone | 8477637958 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
4711 GOLF RD SUITE 1100 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752893 | Alice Chen | Legal Medicine | 4711 Golf Rd, Suite 808, Skokie, IL 60076-1224 | 2005-06-30 |
| 1811418015 | Pr Orthotics & Ot LLC | Durable Medical Equipment & Medical Supplies | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-06-28 |
| 1528507548 | Elizabeth Hultman | Nurse Practitioner | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-02-23 |
| 1609314616 | Mary Lally | Behavioral Analyst | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1821536822 | Steinberg Behavior Solutions | Community/Behavioral Health | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1205372067 | Olasunkanmi Ogedegbe | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2017-01-17 |
| 1952858409 | Marissa Bennett | Behavioral Analyst | 4711 Golf Rd, 100, Skokie, IL 60076-1224 | 2016-09-01 |
| 1326495243 | Michelle Fisher | Social Worker | 4711 Golf Rd, Suite 400, Skokie, IL 60076-1224 | 2016-05-20 |
| 1336503119 | Rebecca Arends | Counselor | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-07 |
| 1992169015 | Jarret Helstern | Nurse Practitioner | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013369578 | Meir Hauser | Psychologist | 4711 Golf Rd Ste 1100, Skokie, IL 60076-1249 | 2016-07-08 |
| 1245499979 | Chicago Northshore Psychologists, Inc. | Psychologist | 4905 Old Orchard Ctr, Suite 607, Skokie, IL 60077-1458 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDREA M VICTOR.
| 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.