MS. JUANITA SAN MADRIGAL (NPI# 1699873018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699873018 |
| Entity Type | Individual |
| Full Name | MS. JUANITA SAN MADRIGAL |
| Credential | MA,LCPC,CSADC |
| Practice Address |
6711 26th St Berwyn IL 60402-2502 |
| Practice Telephone | 7087492481 |
| Practice Fax Number | 7087499206 |
| Mailing Telephone | 7087492481 |
| Mailing Fax Number | 7087499206 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
6711 26TH ST |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169209 | Jennifer Lachance-poirrier | Counselor | 142 Bodine Rd, Berwyn, PA 19312-1027 | 2019-05-13 |
| 1053834937 | Alban George Fisher | Counselor | 3239 Grove Ave Ste 2, Berwyn, IL 60402-3469 | 2017-07-21 |
| 1134672199 | Hilary R Gilway | Counselor | 3245 Grove Ave Ste 107, Berwyn, IL 60402-3475 | 2016-07-26 |
| 1568821395 | Maureen Hamilton | Counselor | 479 Winston Way, Berwyn, PA 19312-1145 | 2016-02-22 |
| 1770960445 | The Nunzia Center LLC | Counselor | 45 Bridge Ave, Berwyn, PA 19312-1760 | 2015-05-01 |
| 1841423563 | Michelle L. Desideri-sojka | Counselor | 6412 27th St, Berwyn, IL 60402-2755 | 2009-08-27 |
| 1093978801 | Darlene Kay Yoder | Counselor | 2541 Scoville Ave, Berwyn, IL 60402 | 2008-07-02 |
| 1376697268 | Lidia G Guerra | Counselor | 6711 W 26th St, Berwyn, IL 60402 | 2007-01-22 |
| 1417011230 | Raul Castro | Counselor | 3339 Highland Ave, Berwyn, IL 60402-3817 | 2006-12-20 |
| 1336220532 | William Charles Meyer | Counselor | 6918 Windsor Avenue, Berwyn, IL 60402 | 2006-10-17 |
| Find all providers in BERWYN | ||||
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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.