PARISA AZHDARIANFARD (NPI# 1871147090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871147090 |
| Entity Type | Individual |
| Full Name | PARISA AZHDARIANFARD |
| Practice Address |
2213 Lakeside Dr Bannockburn IL 60015-1265 |
| Mailing Address |
933 Country Ln Buffalo Grove IL 60089-1938 |
| Practice Telephone | 8472179381 |
| Mailing Telephone | 3122180552 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
34000 | IL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178012242 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2213 LAKESIDE DR |
| City | BANNOCKBURN |
| State | IL |
| Zip Code | 60015-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336250869 | Robin P Eisenberg | Social Worker | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2006-08-31 |
| 1568956696 | Ammirati Counseling | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2018-06-21 |
| 1487872735 | Linda L. Hines, Ph.d., PC | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-23 |
| 1154549764 | Sharon Judith Strauss | Psychologist | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-22 |
| 1952524019 | Paula T Dicanio | Psychologist | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-10 |
| 1497876155 | Karen Marie Holub | Counselor | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-04-02 |
| 1215051842 | Linda Hines | Psychologist | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2007-03-19 |
| 1073604138 | Brad K. Greenspan | Psychiatry & Neurology | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128328 | Growing From Within | Counselor | 2549 Waukegan Rd Ste 543, Bannockburn, IL 60015-1569 | 2020-09-14 |
| 1033607338 | Mary Beth Bussert | Counselor | 2101 Waukegan Rd Ste 302, Bannockburn, IL 60015-1836 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | BANNOCKBURN |
| Zip Code | 60015 |
Please comment or provide details below to improve the information on PARISA AZHDARIANFARD.
| 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.