EUGINIA IVANOVA (NPI# 1669071932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669071932 |
| Entity Type | Individual |
| Full Name | EUGINIA IVANOVA |
| Credential | MSW, CADC |
| Practice Address |
3410 W. Roosevelt Rd Chicago IL 60624 |
| Mailing Address |
3410 W Roosevelt Rd Chicago IL 60624-4343 |
| Practice Telephone | 7738408083 |
| Practice Fax Number | 7738262966 |
| Mailing Telephone | 7738408083 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
33248 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3410 W. ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| 1164552055 | Mohammed Jawad Ali | Internal Medicine | 732 South Pulaski Road, Chicago, IL 60624 | 2007-03-07 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1710528518 | Gateway Professional Services, PC | Counselor | 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 | 2019-10-02 |
| 1801447552 | Erika Chawla | Counselor | 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 | 2019-09-24 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1255997987 | Austin Hall | Counselor | 2942 W Lake St, Chicago, IL 60612-1924 | 2019-05-17 |
| 1417418914 | Monica Connelly | Counselor | 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 | 2019-03-27 |
| 1336608439 | Columbus Manor | Counselor | 5107 W Jackson Blvd, Chicago, IL 60644-4316 | 2019-03-18 |
| 1972062958 | Patricia B Flaherty | Counselor | 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 | 2019-03-18 |
| 1467910620 | Lauren Mccrary | Counselor | 225 W Washington St Ste 200, Chicago, IL 60606-3483 | 2019-03-06 |
| Find all providers in CHICAGO | ||||
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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.