RESTORE 3:16, LLC (NPI# 1851856983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851856983 |
Entity Type | Organization |
Organization Name | RESTORE 3:16, LLC |
Practice Address |
16060 Oak Park Ave Ste 110 Tinley Park IL 60477-1626 |
Mailing Address |
430 E 162nd St Ste 474 South Holland IL 60473-2258 |
Practice Telephone | 7083601630 |
Mailing Telephone | 7083161630 |
Enumeration Date | 2019-02-02 |
Last Update Date | 2019-02-02 |
Authorized Official Name | MS. DELFANITA ELLEN WARREN (CEO) |
Authorized Official Telephone | 7083161630 |
Authorized Official Credential | HAIR LOSS SPECIA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
Other Name | Type Code |
---|---|
RESTORE 3:16,LLC | Doing Business As Name - Organization |
Street Address |
16060 OAK PARK AVE STE 110 |
City | TINLEY PARK |
State | IL |
Zip Code | 60477-1626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
Find all providers in zip 60477 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558988865 | Ebony Roberts | Specialist | 16541 Oak Park Ave, Tinley Park, IL 60477-1752 | 2020-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366059008 | Jena Young | Specialist | 19 Sapphire Ln, Fairview Heights, IL 62208-2641 | 2020-09-27 |
1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
1073135729 | Marquita Daniel | Specialist | 9295 159th St Ste 131, Orland Hills, IL 60487-5977 | 2020-05-15 |
1760021703 | Monica Bembry | Specialist | 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 | 2019-12-21 |
1164072831 | Brandi Fields | Specialist | 6400 W Main St Ste 3k, Belleville, IL 62223-3806 | 2019-09-16 |
1669029096 | Akossiwa Amenyo | Specialist | 625 S Lincoln Ave, O Fallon, IL 62269-2663 | 2019-08-21 |
1043878747 | Kermitt Alexander | Specialist | 1575 Sibley Blvd, Calumet City, IL 60409-2304 | 2019-05-29 |
1508421579 | Jorell Glass | Specialist | 456 Fulton St Ste 180, Peoria, IL 61602-1292 | 2019-05-06 |
1114582368 | Shundrea Neely | Specialist | 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 | 2019-05-03 |
1730644568 | Ashley Nicole Morgan | Specialist | 7732 S Evans Ave, Chicago, IL 60619-2909 | 2019-02-06 |
Find all providers with the same taxonomy |
City | TINLEY PARK |
Zip Code | 60477 |
Please comment or provide details below to improve the information on RESTORE 3:16, LLC.
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.