CLEARBROOK (NPI# 1750374757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750374757 |
| Entity Type | Organization |
| Organization Name | CLEARBROOK |
| Practice Address |
3705 Pheasant Dr Rolling Meadows IL 60008-2634 |
| Mailing Address |
1835 W Central Rd Arlington Heights IL 60005-2410 |
| Practice Telephone | 8473922812 |
| Practice Fax Number | 8473928939 |
| Mailing Telephone | 8473922812 |
| Mailing Fax Number | 8473928939 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRENDA L. DEVITO (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 8473922812 |
| Authorized Official Credential | M.S.,L.C.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD PR | 1630182 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225063472 | Clearbrook | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1835 W Central Road, Arlington Heights, IL 60005-2410 | 2006-07-12 |
| 1285001958 | Clearbrook | Day Training, Developmentally Disabled Services | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2015-08-28 |
| 1568882504 | Clearbrook | Community/Behavioral Health | 1425 Payne Rd, Schaumburg, IL 60173-4513 | 2014-04-17 |
| 1992059638 | Clearbrook | In Home Supportive Care | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2012-11-02 |
| 1710239611 | Clearbrook | Case Management | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2012-10-03 |
| 1447425111 | Clearbrook | Voluntary or Charitable | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2008-04-24 |
| 1992992325 | Clearbrook | Day Training, Developmentally Disabled Services | 1425 Payne Rd, Schaumburg, IL 60173-4513 | 2007-10-01 |
| 1386786036 | Clearbrook | Day Training, Developmentally Disabled Services | 1425 Payne Rd, Schaumburg, IL 60173-4513 | 2007-02-12 |
| 1487742904 | Clearbrook | Speech-Language Pathologist | 3705 Pheasant Dr, Rolling Meadows, IL 60008-2634 | 2006-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLEARBROOK | 1835 W Central Rd, Arlington Heights, IL 60005-2410 |
| Washington State Corporations | CLEARBROOK ADVISORY INC | 16 6th St Fl 2, Harrison, NJ 07029-1806 |
| New York State Corporations | CLEARBROOK CAFE LLC | 7 Skyline Drive, Elmsford, New York 10523 |
| Vermont Business Registrations | CLEARBROOK CENTER HOLDINGS, INC. | 72 Main St, Burlington, VT 05401 |
| Virginia Business Entities | Clearbrook Cigarettes LLC | 111 Hopewell Lane, Clearbrook, Virginia 22624 |
| Virginia Business Entities | CLEARBROOK CIVIC LEAGUE INC. | C/o 5148 Singing Hills Road, Roanoke, Virginia 24014 |
| Washington State Corporations | CLEARBROOK CONSTRUCTION LLC | 10810 Ne 154th Ct, Bothell, WA 98011 |
| New York State Corporations | CLEARBROOK DEVELOPMENT CO., INC. | 11 Clearbrook Road, Mahopac, Ny 10541 |
| Connecticut Business Registrations | CLEARBROOK DEVELOPMENT LLC | 12 Swamp Rd, Newtown, CT 06470 |
| Washington State Corporations | CLEARBROOK DRIVE LLC | 1304 Clearbrook Dr, Bellingham, WA 98229-2307 |
| Street Address |
3705 PHEASANT DR |
| City | ROLLING MEADOWS |
| State | IL |
| Zip Code | 60008-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346408879 | Shirley G Syfu | Developmental Therapist | 3705 Pheasant Dr, Rolling Meadows, IL 60008-2634 | 2008-05-30 |
| 1194948679 | Michelle M. Precin | Developmental Therapist | 3705 Pheasant Dr, Rolling Meadows, IL 60008-2634 | 2007-04-11 |
| 1487742904 | Clearbrook | Speech-Language Pathologist | 3705 Pheasant Dr, Rolling Meadows, IL 60008-2634 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912557414 | Mary Grace G Shiffer | Technician | 3 Burning Tree Rd, Rolling Meadows, IL 60008 | 2019-09-17 |
| 1376102194 | Dental Skills Ltd | Dentist | 2202 1/2 Algonquin Road, Rolling Medows, IL 60008 | 2019-06-06 |
| 1003341363 | Jessica L White | Behavioral Analyst | 3501 W Algonquin Rd, 210, Rolling Meadows, IL 60008 | 2017-04-25 |
| 1548712300 | Luminita Alexe | Naturopath | 1600 Gold Road, Suite 1200, Rolling Meadows, IL 60008 | 2016-10-27 |
| 1265898811 | Ami Mehta | Physical Therapist | 5707 Michael Ct, Rolling Meadows, IL 60008 | 2016-01-12 |
| 1912391228 | Therapeutic Revolution | Massage Therapist | 4734 Arbor Drive Apt 111, Rolling Meadows, IL 60008 | 2015-03-25 |
| 1932523214 | Id Consultants Ltd | Specialist | 2118 Plum Grove Road #223, Rolling Meadows, IL 60008 | 2014-02-07 |
| 1881888204 | Meadows | Intermediate Care Facility, Mentally Retarded | 3250 S Plum Grove Rd, Rolling Meadows, IL 60008 | 2007-08-29 |
| 1447386164 | Patricia Ann Lueders | Nurse Practitioner | 4225 Kirchoff Road, Rolling Meadows, IL 60008 | 2007-02-26 |
| 1952453979 | Marietta A Bufalino Inc | Dentist | 4005 1 2 Algonquin Rd, Rolling Meadows, IL 60008 | 2007-01-18 |
| Find all providers in zip 60008 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523214 | Id Consultants Ltd | Specialist | 2118 Plum Grove Road #223, Rolling Meadows, IL 60008 | 2014-02-07 |
| 1164462941 | Bassam F Matar | Specialist | 2000 Golf Rd, Rolling Meadows, IL 60008 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | ROLLING MEADOWS |
| Zip Code | 60008 |
Please comment or provide details below to improve the information on CLEARBROOK.
| 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.