MR. MANDEEP MUDHAR (NPI# 1699232082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699232082 |
| Entity Type | Individual |
| Full Name | MR. MANDEEP MUDHAR |
| Credential | MA, CRC, LCPC |
| Practice Address |
1782 Apple Valley Rd Bolingbrook IL 60490-4567 |
| Practice Telephone | 6308021503 |
| Mailing Telephone | 6308021503 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180012075 | Behavioral Health & Social Service Providers |
| Street Address |
1782 APPLE VALLEY RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438831 | Community Service Council of Northern Will County | Counselor | 440 Quadrangle Dr Ste C, Bolingbrook, IL 60440-3455 | 2018-05-21 |
| 1750732020 | Valerie Reimer | Counselor | 704 N Pinecrest Rd, Bolingbrook, IL 60440-1118 | 2016-06-28 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1134350366 | Nicolette Marie Bernhardt | Counselor | 197 N Vincent Dr, Bolingbrook, IL 60490-5594 | 2009-08-05 |
| 1760630917 | Cristina D. Stevens | Counselor | 308 Pacific Dr, Bolingbrook, IL 60440-2049 | 2008-08-29 |
| 1184802167 | Sandra Carlson & Associates | Counselor | 682 W Boughton Rd Ste D, Bolingbrook, IL 60440-2199 | 2008-02-01 |
| 1194859447 | Carla T Bader | Counselor | 682 W. Boughton Rd, Suite D, Bolingbrook, IL 60440 | 2007-03-16 |
| 1649349473 | Gail Maureen West Hooper | Counselor | 404 Boughton Road, B, Bolingbrook, IL 60440 | 2006-11-07 |
| 1376612168 | Sandra Elizabeth Carlson | Counselor | 682 W Boughton Rd, Unit D, Bolingbrook, IL 60440-5700 | 2006-11-07 |
| 1427137801 | Valleria Deanna Forney-williams | Counselor | 684 W Boughton Rd, Suite 201a, Bolingbrook, IL 60440-1781 | 2006-11-04 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
Please comment or provide details below to improve the information on MR. MANDEEP MUDHAR.
| 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.