DR. CAROLYN ANN MILDNER


Address: 1645 W Gregory St, Chicago, IL 60640-1161
Phone: 7734449779

DR. CAROLYN ANN MILDNER (NPI# 1952445355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952445355
Entity Type Individual
Full Name DR. CAROLYN ANN MILDNER
Credential PH.D.
Practice Address 1645 W Gregory St
Chicago
IL 60640-1161
Practice Telephone 7734449779
Mailing Telephone 7734449779
Enumeration Date 2007-02-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 016-35807 01

Office Location

Street Address 1645 W GREGORY ST
City CHICAGO
State IL
Zip Code 60640-1161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487634788 Laura Hosto Counselor 1645 W Gregory St, Chicago, IL 60640-1161 2006-01-20
1942554472 Nicole Martin Counselor 1645 W Gregory St, Chicago, IL 60640-1161 2012-11-06

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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821699166 Jennifer Knuepfer, Psyd, Pllc Psychologist 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 2020-11-03
1104426170 Grace Giedgowd Psychologist 1640 W Division St Apt 205, Chicago, IL 60622-3939 2020-10-29
1184223364 Caroline Elisabeth Fulton Psychologist 1739 N Elston Ave, Chicago, IL 60642-1544 2020-10-20
1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
1285231936 Qianhui Zhang Psychologist 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 2020-10-06
1316544158 Nancy Marie Picard Psychologist 4885 N Hermitage Ave, Chicago, IL 60640-4104 2020-10-05
1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
1497365910 Sara Sirota Psychologist 5443 N Broadway St # 2s, Chicago, IL 60640-1703 2020-08-10
1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
1699392688 Hongying Chen Psychologist 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 2020-06-25
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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

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.

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