MS. MARIA DIANE GRZYBEK (NPI# 1962705350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962705350 |
Entity Type | Individual |
Full Name | MS. MARIA DIANE GRZYBEK |
Credential | LCPC |
Practice Address |
1851 Douglas Rd Montgomery IL 60538-2159 |
Mailing Address |
1851 Douglas Road Montgomery IL 60538 |
Practice Telephone | 6307011690 |
Mailing Telephone | 6307011690 |
Mailing Fax Number | 6308449990 |
Enumeration Date | 2010-12-07 |
Last Update Date | 2012-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.003772 | IL | Behavioral Health & Social Service Providers |
Street Address |
1851 DOUGLAS RD |
City | MONTGOMERY |
State | IL |
Zip Code | 60538-2159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861698649 | Vp Rehabilitation Medicine LLC | Clinic/Center | 1851 Douglas Rd, Vohra Medical Center, Montgomery, IL 60538-2159 | 2007-06-26 |
1700348539 | Oswego Foot & Ankle Specialists, PC | Podiatrist | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2019-04-01 |
1386091452 | On Call Medical Doctors LLC | Internal Medicine | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2016-05-19 |
1417396334 | Christina Marie Perrino | Physician Assistant | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2013-06-25 |
1275864423 | Khurrum M Butt | Psychologist | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2010-01-27 |
1164752531 | Center for Behavioral Health Services LLC | Psychiatry & Neurology | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2010-01-07 |
1720219413 | All American Home Physicians LLC | Family Medicine | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2009-07-29 |
1245487172 | Mercy Care Health Systems LLC | Clinic/Center | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2008-08-21 |
1780830307 | Midwest Surgical Facility | Clinic/Center | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2008-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
Find all providers in zip 60538 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162376 | Kasey Leigh Byrd | Counselor | 106 Pine Crest Cir, Montgomery, TX 77316-1471 | 2020-10-22 |
1902423858 | Glenn Paul Winkler | Counselor | 500 Interstate Park Dr Ste 522, Montgomery, AL 36109-5489 | 2020-06-26 |
1457973950 | Kristin Nicole Byrd | Counselor | 935 S Perry St, Montgomery, AL 36104-5021 | 2020-05-07 |
1811527344 | Juanita Dalvery Barnett | Counselor | 6000 Monticello Dr, Montgomery, AL 36117-1907 | 2020-01-23 |
1982242756 | Kendra Rhodes | Counselor | 1337 Richton Rd, Montgomery, AL 36117-8932 | 2019-12-12 |
1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
1316502248 | Keila Cares, LLC | Counselor | 4758 Woodmere Blvd Ste H, Montgomery, AL 36106-3076 | 2019-05-06 |
1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
1861953739 | Laquanda Wiggins | Counselor | 8448 Crossland Loop Ste 163, Montgomery, AL 36117-0951 | 2019-03-25 |
1942769443 | Cheryl L Whetstone | Counselor | 3214 Babette Cir, Montgomery, AL 36116-3913 | 2019-03-14 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 60538 |
Please comment or provide details below to improve the information on MS. MARIA DIANE GRZYBEK.
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.