SAMANTHA WILEY (NPI# 1700265592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700265592 |
| Entity Type | Individual |
| Full Name | SAMANTHA WILEY |
| Credential | M.S., L.C.G.C |
| Practice Address |
202 S Greenleaf St Suite E Gurnee IL 60031-3399 |
| Practice Telephone | 8473366111 |
| Mailing Telephone | 8473366111 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 246000205 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043696768 | Samantha Wiley | Speech-Language Pathologist | 1901 W Highway 90, Monticello, KY 42633-2460 | 2015-08-04 |
| 1912242884 | Samantha Wiley | Counselor | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2012-12-04 |
| Street Address |
202 S GREENLEAF ST SUITE E |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033167242 | Fabian David Latocha | Dentist | 202 S Greenleaf St, Suite A, Gurnee, IL 60031-3399 | 2006-05-04 |
| 1417384306 | Waukegan Clinic Corp | Durable Medical Equipment & Medical Supplies | 202 S Greenleaf St, Suite E, Gurnee, IL 60031-3399 | 2013-10-09 |
| 1093142135 | Oncology Hematology Associates of Northern Illinois, Ltd | Internal Medicine | 202 S Greenleaf St, Suite E, Gurnee, IL 60031-3399 | 2013-10-03 |
| 1790056018 | Illinois Skilled Care, LLC | Home Health | 202 S Greenleaf St, Suite C, Gurnee, IL 60031-3399 | 2012-01-18 |
| 1023132859 | Oral & Maxillofacial Surgeons of Lake County, P.C. | Dentist | 202 S Greenleaf St, Suite A, Gurnee, IL 60031-3399 | 2007-03-19 |
| 1790813202 | Oncology Hematology Associates of Northern Illinois, Ltd. | Specialist | 202 S Greenleaf St, Suite E, Gurnee, IL 60031 | 2007-02-28 |
| 1003973827 | Urology Specialists of Lake County, S.c. | Specialist | 202 S Greenleaf St, Suite D, Gurnee, IL 60031-3399 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280069 | Christine Marie Drogan | Genetic Counselor, MS | 5841 S Maryland Ave Rm G-109, Chicago, IL 60637-1443 | 2020-06-22 |
| 1497243786 | Anna Katya Brossart | Genetic Counselor, MS | 3000 N Halsted St Ste 209, Chicago, IL 60657-5190 | 2018-04-23 |
| 1720507486 | Rachel Hickey | Genetic Counselor, MS | 155 E Superior St Ofc 312a, Chicago, IL 60611-2911 | 2017-09-13 |
| 1275050585 | Jamie Garman | Genetic Counselor, MS | 2160 S 1st Ave Rm 2656, Maywood, IL 60153-3328 | 2017-08-28 |
| 1477000941 | Rikki Gaber | Genetic Counselor, MS | 900 W Nelson, G9108, Chicago, IL 60657 | 2016-09-01 |
| 1609329432 | Courtney M. Cook | Genetic Counselor, MS | 406 E Washington Ave Apt 9, Effingham, IL 62401-3489 | 2016-07-28 |
| 1790134526 | Elizabeth Therese Kaplan | Genetic Counselor, MS | 1000 Central St Ste 610, Evanston, IL 60201-1780 | 2016-06-13 |
| 1003275017 | Sarah Walterman | Genetic Counselor, MS | 250 E Superior St Ste 5-2221, Chicago, IL 60611 | 2016-02-18 |
| 1225401334 | Lisa Kinsley | Genetic Counselor, MS | 300 E Superior St, Tarry 13-729, Chicago, IL 60611-3010 | 2015-11-11 |
| 1003239971 | Holley May | Genetic Counselor, MS | 1000 Central St Ste 620, Evanston, IL 60201-1780 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
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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.