LAURIE KELLY (NPI# 1871967190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871967190 |
| Entity Type | Individual |
| Full Name | LAURIE KELLY |
| Credential | CADC |
| Practice Address |
1113 W Greenwood Ave Waukegan IL 60087-4908 |
| Practice Telephone | 8472444434 |
| Mailing Telephone | 8472444434 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
23587 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871964072 | Laurie K Kelly | Social Worker | 6020 Oakwood Dr, Unit 4d, Lisle, IL 60532-3088 | 2015-10-14 |
| 1467517664 | Laurie Lee Kelly | Dental Hygienist | 4550 Dogwood Dr, Lake Oswego, OR 97035-8410 | 2006-12-27 |
| Street Address |
1113 W GREENWOOD AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715205 | Nicasa, Nfp | Community/Behavioral Health | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2014-02-05 |
| 1487135042 | Jamie Gallo-weinstein | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2018-08-22 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1083088256 | Marcos Carrillo | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1255705414 | Elizabeth Carbonell | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1568836138 | Michael Labellart | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-19 |
| 1356714232 | Pamela Williams | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-02 |
| 1386016673 | Nathaniel Brown | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| 1538531991 | Ferlando Mallory | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| 1952773319 | Stephanie Escobar | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1174802342 | Nashonna Turner | Counselor | 726 W Grove Ave # 2nd, Waukegan, IL 60085-1849 | 2011-08-05 |
| 1154987733 | Sharon D Jones | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-19 |
| 1548823396 | Katherine Lorelen Nauert-dineen | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-17 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| Find all providers in WAUKEGAN | ||||
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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.