RANDY BURAGE (NPI# 1790269710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790269710 |
Entity Type | Individual |
Full Name | RANDY BURAGE |
Practice Address |
430 Victoria Ln Elgin IL 60124-3838 |
Practice Telephone | 7735547090 |
Mailing Telephone | 7735547090 |
Enumeration Date | 2018-09-17 |
Last Update Date | 2018-09-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
430 VICTORIA LN |
City | ELGIN |
State | IL |
Zip Code | 60124-3838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
1134286057 | Siri Chanthasalo | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2007-01-02 |
Find all providers in zip 60124 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144876509 | A&j Counseling and Consulting Agency, LLC. | Counselor | 1502 Smyrna Rd, Elgin, SC 29045-8904 | 2019-08-12 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1770047821 | Suzanne Antoinette Favors | Counselor | Ecker Center for Mental Health, 1845 Grandstand Place, Elgin, IL 60123-4983 | 2019-01-23 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1720564156 | Clarity, Calm & Peace Behavioral Health Services, Inc. | Counselor | 164 Division Street, Suite 203, Elgin, IL 60120-5516 | 2018-07-18 |
1538650460 | Eve Ahrens | Counselor | 164 Division St Ste 502, Elgin, IL 60120-5531 | 2018-05-26 |
1396262333 | Chrissy Senior | Counselor | 620 Wing St Ste 3, Elgin, IL 60123-2800 | 2017-08-29 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1962939462 | Matthew Xavier Rodriguez | Counselor | 1140 N Mclean Blvd Ste 1, Elgin, IL 60123-1782 | 2017-05-15 |
Find all providers in ELGIN |
Please comment or provide details below to improve the information on RANDY BURAGE.
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.