JORDAN BOEREMA (NPI# 1962993857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962993857 |
| Entity Type | Individual |
| Full Name | JORDAN BOEREMA |
| Credential | LCPC, ATR |
| Practice Address |
2500 W Bradley Pl Ste 100 Chicago IL 60618-4716 |
| Mailing Address |
4235 N Kedzie Ave Apt 3f Chicago IL 60618-2471 |
| Practice Telephone | 7736490787 |
| Mailing Telephone | 8477212910 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180011342 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2500 W BRADLEY PL STE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154582385 | Chrisantha Ernest Anandappa | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2008-06-20 |
| 1134730963 | Dr Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1629689393 | Dr Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-14 |
| 1306457445 | Renee Luburic Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1366053449 | Ann Chakkalakal Md | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-08-12 |
| 1073147252 | Crystal Cole Pmhnp-bc LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-02-26 |
| 1154955334 | Crystal Lynn Cole Pmhnp-bc LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2020-02-26 |
| 1093352098 | Felisha Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1992342992 | Felisha Marie Harmon Aprn-bc LLC | Psychiatry & Neurology | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-12-09 |
| 1821658527 | Dana Eason, Apn, LLC | Nurse Practitioner | 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.