YOUNG MEN'S CHRISTIAN ASSOCIATION OF BERWYN-CICERO (NPI# 1750832077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750832077 |
| Entity Type | Organization |
| Organization Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF BERWYN-CICERO |
| Practice Address |
2947 Oak Park Ave Berwyn IL 60402-3048 |
| Practice Telephone | 7087490606 |
| Practice Fax Number | 7087497793 |
| Mailing Telephone | 7087490606 |
| Mailing Fax Number | 7087497793 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | JAMIE KUCERA (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 7087490606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
2947 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538281589 | Daniel V. Fortuna, D.c., S.c. | Chiropractor | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2007-04-03 |
| 1649773995 | Laura Garcia | Health Educator | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2018-03-13 |
| 1518460914 | Daniel K Treadwell | Health Educator | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2018-03-12 |
| 1538325048 | Daniel Vincent Fortuna | Chiropractor | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2008-08-04 |
| 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 | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649773995 | Laura Garcia | Health Educator | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2018-03-13 |
| 1518460914 | Daniel K Treadwell | Health Educator | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152421 | Brandee Lou Barroso | Health Educator | 1226 14th St, Peru, IL 61354-1836 | 2020-07-24 |
| 1215545462 | Integrated Case Management L3c | Health Educator | 701 Warrenville Rd Ste 250, Lisle, IL 60532-1704 | 2020-07-14 |
| 1770141566 | Erin Horetski | Health Educator | 4922 N Janssen Ave Unit 1, Chicago, IL 60640-3517 | 2019-06-05 |
| 1093285454 | Emily Bernardes Klockenga | Health Educator | 2943 W White Oaks Dr Ste 1, Springfield, IL 62704-6596 | 2018-11-28 |
| 1427532498 | Aishling Companion Home Care, Inc | Health Educator | 13255 Southwest Hwy Ste 200, Orland Park, IL 60462-1362 | 2018-09-17 |
| 1841792801 | Rhonda Richter | Health Educator | 24735 W. Eames St., Channahon, IL 60410 | 2018-03-06 |
| 1609378249 | True Blue Health & Wellness Inc | Health Educator | 11 S Evergreen Ave, Arlington Heights, IL 60005-1427 | 2018-02-28 |
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 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.