GREAT LAKES HEALTHCARE, LLC. (NPI# 1902964802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902964802 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES HEALTHCARE, LLC. |
| Practice Address |
900 N Kingsbury St Suite 1055 Chicago IL 60610-7432 |
| Practice Telephone | 3122220646 |
| Practice Fax Number | 3122220647 |
| Mailing Telephone | 3122220646 |
| Mailing Fax Number | 3122220647 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE TONG (PRESIDENT) |
| Authorized Official Telephone | 3128321844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IL | Agencies |
| Street Address |
900 N KINGSBURY ST SUITE 1055 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503220 | Elizabeth Bail | Nurse Practitioner | 900 N Kingsbury St, Chicago, IL 60610-7432 | 2018-10-05 |
| 1952725558 | Pulling Down The Moon | Acupuncturist | 900 N Kingsbury St, Riverwalk 6-a, Chicago, IL 60610-7432 | 2014-02-18 |
| 1659709772 | Pulling Down The Moon | Massage Therapist | 900 N Kingsbury St, Chicago, IL 60610-7432 | 2013-10-29 |
| 1679900278 | Anna Mariano | Health Educator | 900 N Kingsbury St, Riverwalk 6-a, Chicago, IL 60610-7432 | 2013-09-27 |
| 1578999264 | Natalie Weiss | Dietitian, Registered | 900 N Kingsbury St, Riverwalk 6-a, Chicago, IL 60610-7432 | 2013-09-25 |
| 1275969792 | Cathleen M Mccauley | Massage Therapist | 900 N Kingsbury St, Rw 6a, Chicago, IL 60610-7432 | 2013-09-16 |
| 1881029411 | Anna Pyne | Acupuncturist | 900 N Kingsbury St, Riverwalk 6-a, Chicago, IL 60610-7432 | 2013-09-13 |
| 1508172875 | Katie Hamilton | Nurse Practitioner | 900 N Kingsbury St, Suite 130 N, Chicago, IL 60610-7432 | 2010-08-25 |
| 1447498563 | Anita See | Physician Assistant | 900 N Kingsbury St, Suite 130n, Chicago, IL 60610-7432 | 2009-01-27 |
| 1912161100 | The Northwestern Specialists for Women,llc | Specialist | 900 N Kingsbury St, Suite 130n, Chicago, IL 60610-7432 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1457962144 | Anuco Home Health Care LLC | Home Health | 17 N Leclaire Ave Apt 2w, Chicago, IL 60644-4104 | 2020-08-14 |
| 1811507361 | Potential Unlimited LLC | Home Health | 5140 N Oakley Ave, Chicago, IL 60625-1847 | 2020-08-08 |
| 1275143166 | Pure Touch Home Health LLC | Home Health | 2059 W 82nd St, Chicago, IL 60620-5343 | 2020-08-05 |
| 1316565773 | Global Heritage Home Healthcare, Inc | Home Health | 6630 N Campbell Ave Unit 1, Chicago, IL 60645-5019 | 2020-07-10 |
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1588293633 | Stellar Home Network | Home Health | 3530 W Peterson Ave Ste 101, Chicago, IL 60659-3294 | 2020-04-01 |
| 1518599406 | Illuminate Touch LLC | Home Health | 1109 S Mason Ave, Chicago, IL 60644-5341 | 2020-02-07 |
| 1134764137 | Wholistic Home Health Care LLC | Home Health | 6854 S Perry Ave, Chicago, IL 60621-3799 | 2019-11-13 |
| 1346884863 | Virtue Home Care | Home Health | 3924 W North Ave, Chicago, IL 60647-4618 | 2019-10-29 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on GREAT LAKES HEALTHCARE, 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.