ROGER STEPHAN CRUM (NPI# 1972510121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972510121 |
Entity Type | Individual |
Full Name | ROGER STEPHAN CRUM |
Credential | LCPC |
Practice Address |
210 W 22nd St Suite 118 Oak Brook IL 60523-1544 |
Practice Telephone | 6305711077 |
Mailing Telephone | 6305711077 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
552 | IL | Behavioral Health & Social Service Providers |
X | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ADDICTIONS COUNSELOR | 552 | 01 |
Street Address |
210 W 22ND ST SUITE 118 |
City | OAK BROOK |
State | IL |
Zip Code | 60523-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134176423 | Maria Nucci | Psychologist | 210 W 22nd St, Suite 119, Oak Brook, IL 60523-1544 | 2006-05-30 |
1306195268 | Comprehensive Neuropsychology Services, LLC | Clinical Neuropsychologist | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2012-09-06 |
1679773196 | Counseling Resources, Inc | Counselor | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2007-07-23 |
1326259870 | Doreen Berger | Social Worker | 210 W 22nd St, #119, Oak Brook, IL 60523 | 2007-05-25 |
1467572610 | Kim A Habel | Psychologist | 210 W 22nd St, Suite 119, Oak Brook, IL 60523-1544 | 2007-03-30 |
1215062419 | Michael Charles Smith | Psychologist | 210 W 22nd St, Suite 119, Oak Brook, IL 60523-1544 | 2007-02-21 |
1043366297 | Gerald M. Stein | Clinical Neuropsychologist | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2007-01-28 |
1124182308 | Teresa Ammirati | Counselor | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2006-12-21 |
1811065121 | Brook Clinic Associates, P.C. | Clinical Neuropsychologist | 210 W 22nd St, Suite 118, Oak Brook, IL 60523-1544 | 2006-12-04 |
1184700700 | Marianne Protess | Social Worker | 210 W 22nd St, Suite 120, Oak Brook, IL 60523-1544 | 2006-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
Find all providers in zip 60523 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
1689013203 | Theresa B Gabby | Counselor | 600 W 22nd St Ste 250, Oak Brook, IL 60523-8864 | 2013-06-17 |
1023016565 | Yvonne D. Anderson | Counselor | 2625 Butterfield Rd, Suite 101w, Oak Brook, IL 60523-1234 | 2005-07-08 |
1114387602 | Insight Behavioral Health Centers | Counselor | 1010 Jorie Blvd, Suite 200, Oak Brook, IL 60523-2215 | 2016-02-26 |
1245570068 | Mary Kathleen O'hara | Counselor | 2625 Butterfield Rd, Suite 103w, Oak Brook, IL 60523-1234 | 2013-02-15 |
1609086552 | Susan Ackley | Counselor | 2625 Butterfield Rd, Suite 138s, Oak Brook, IL 60523-1234 | 2007-05-22 |
1013074913 | Mary Kathleen O'hara | Counselor | 2625 Butterfield Rd, Suite 103w, Oak Brook, IL 60523-1234 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
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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.