BROOKSIDE CLINICAL SERVICES (NPI# 1699277277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699277277 |
| Entity Type | Organization |
| Organization Name | BROOKSIDE CLINICAL SERVICES |
| Other Organization Name | MARK GORZKOWSKI, LCPC |
| Practice Address |
1333 Burr Ridge Pkwy Ste 200 Burr Ridge IL 60527-0833 |
| Practice Telephone | 6309235558 |
| Practice Fax Number | 6307563095 |
| Mailing Telephone | 6309235558 |
| Mailing Fax Number | 6307563095 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | MARK GORZKOWSKI (OWNER) |
| Authorized Official Telephone | 6309235558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IL | Agencies |
| Other Name | Type Code |
|---|---|
| Mark Gorzkowski, LCPC | Doing Business As Name - Organization |
| Street Address |
1333 BURR RIDGE PKWY STE 200 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-0833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361885 | Candice Sue Anderson | Family Medicine | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 | 2006-01-24 |
| 1720609944 | Alison Spillers | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2020-04-28 |
| 1629605712 | Venvisor Health Illinois LLC | Nurse Practitioner | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2020-03-26 |
| 1902367758 | Saba Montazerian | Marriage & Family Therapist | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2019-03-26 |
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1639663412 | Laura Walsh | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1073007837 | Sarah A Matlin | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 | 2018-06-15 |
| 1386134898 | Veteran Innovation LLC | Psychologist | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-05-10 |
| 1205280674 | Magdalena Daoud | Nurse Practitioner | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2016-04-21 |
| 1902227556 | Mark Joseph Gorzkowski | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2013-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1356604540 | Allison Lobel, LLC | Community/Behavioral Health | 241 S Frontage Rd, Suite 35, Burr Ridge, IL 60527-4400 | 2012-06-21 |
| 1811282825 | The Center for Hope & Healing | Community/Behavioral Health | 16w241 S Frontage Rd, Suite 35, Burr Ridge, IL 60527-4400 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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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.