KELLY GRACE ARTEAGA (NPI# 1730579533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730579533 |
| Entity Type | Individual |
| Full Name | KELLY GRACE ARTEAGA |
| Credential | PSY.D. |
| Practice Address |
4256 N Ravenswood Ave Ste 302 Chicago IL 60613-1114 |
| Practice Telephone | 6197575818 |
| Mailing Telephone | 6197575818 |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008863 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4256 N RAVENSWOOD AVE STE 302 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720195 | Dennis Pomerleau | Social Worker | 4256 N Ravenswood Ave, Suite 311, Chicago, IL 60613-1110 | 2006-09-16 |
| 1508368390 | William Robert Bastian | Chiropractor | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2018-03-07 |
| 1811440068 | Elizabeth Mcnamara | Specialist | 4256 N Ravenswood Ave, Suite 216, Chicago, IL 60613-1114 | 2016-07-24 |
| 1265896823 | Life Transitions Counseling | Social Worker | 4256 N Ravenswood Ave, Suite 312, Chicago, IL 60613-1114 | 2016-04-11 |
| 1700247152 | Laura Cooper | Social Worker | 4256 N Ravenswood Ave, Suite 307, Chicago, IL 60613-1114 | 2016-03-13 |
| 1477925956 | Julia Noobler | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-10-23 |
| 1770954877 | Stephanie Fowler | Counselor | 4256 N Ravenswood Ave, Suite 213, Chicago, IL 60613-1114 | 2015-10-14 |
| 1184017394 | Seth Solway | Psychologist | 4256 N Ravenswood Ave, Ste 211, Chicago, IL 60613-1114 | 2015-03-12 |
| 1194116731 | Priscilla Kang Lcsw LLC | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-02-17 |
| 1306237870 | Tatiana Jaramillo | Nurse Practitioner | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2015-02-05 |
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|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| 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.