LESTER & ROSALIE ANIXTER CENTER (NPI# 1831678192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831678192 |
| Entity Type | Organization |
| Organization Name | LESTER & ROSALIE ANIXTER CENTER |
| Practice Address |
4920 N Kenmore Ave Chicago IL 60640-3710 |
| Mailing Address |
6610 N Clark St Chicago IL 60626-4062 |
| Practice Telephone | 7737611501 |
| Mailing Telephone | 7737611501 |
| Mailing Fax Number | 7732743523 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MARY DESMOND (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7737611501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0998-0013-A | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | A-0998-0013-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1932673449 | Lester & Rosalie Anixter Center | Clinic/Center | 2450 N Central Ave, Chicago, IL 60639-1316 | 2019-01-17 |
| 1730653247 | Lester & Rosalie Anixter Center | Clinic/Center | 8001 S Western Ave, Chicago, IL 60620-5930 | 2019-01-17 |
| 1689150161 | Lester & Rosalie Anixter Center | Clinic/Center | 6125 S Kenwood Ave, Chicago, IL 60637-2818 | 2018-07-17 |
| Street Address |
4920 N KENMORE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336218841 | Mid America Care Center, LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2006-11-07 |
| 1275195067 | Mandi Adydan | Psychologist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2019-07-02 |
| 1841703238 | Uptown Care Center, LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2017-11-08 |
| 1184163826 | Uptown Care Center LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2017-02-14 |
| 1396089256 | Bridget Milligan | Occupational Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2012-11-16 |
| 1558597716 | Waldemar Emmerich | Physical Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-06-02 |
| 1548494438 | Bethany A Riebock | Speech-Language Pathologist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-05-07 |
| 1831331941 | Yuk Ngan Lai | Occupational Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-04-03 |
| 1083821102 | Mid-america Convalescent Centers, Inc. | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| 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.