SPECTRUM SUPPORT LLC (NPI# 1982903803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982903803 |
| Entity Type | Organization |
| Organization Name | SPECTRUM SUPPORT LLC |
| Practice Address |
1575 West Lake Shore Drive Woodstock IL 60098 |
| Practice Telephone | 8154043558 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | TANIA BOON-RICHARDSON (OWNER) |
| Authorized Official Telephone | 8154043558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Spectrum Support LLC | 1401 E Girard Pl, #12-401, Englewood, CO 80113 |
| Street Address |
1575 WEST LAKE SHORE DRIVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851848766 | Heaven's Gait Therapeutic Riding, Inc | Specialist | 2471 E Cherokee Dr, Woodstock, GA 30188-2000 | 2016-09-08 |
| 1710344882 | Susan Marini | Specialist | 232 Hiawassee Dr, Woodstock, GA 30188-7851 | 2016-01-20 |
| 1497060016 | Quality Medical Management Services LLC | Specialist | 1112 Dunedin Trl, Woodstock, GA 30188-3657 | 2010-08-09 |
| 1851537955 | Kimberly Renee Muschong | Specialist | 2285 Applewood Ln, Woodstock, IL 60098-7487 | 2008-12-21 |
| 1013161637 | 360 Medical Management | Specialist | 200 Parkbrooke Dr, Suite 200, Woodstock, GA 30189-6331 | 2008-11-10 |
| 1255590386 | Karen D Manire | Specialist | 7210 Highway 92, Woodstock, GA 30189-3406 | 2008-06-04 |
| 1326269564 | Bridgemill Neurological Associates, PC | Specialist | 980 Woodstock Parkway, Suite 300, Woodstock, GA 30188 | 2007-05-02 |
| 1053532838 | Irene Brigetta Reece | Specialist | 104 Springfield Center Drive, Suite 117, Woodstock, GA 30188 | 2007-05-01 |
| 1114067634 | Daniel Milton Frajt | Specialist | 2026 Township Dr, Woodstock, GA 30189-5243 | 2007-02-07 |
| 1295884484 | Duncan Wells PC | Specialist | 970 Woodstock Parkway Ste 310, Woodstock, GA 30188 | 2007-01-09 |
| Find all providers in WOODSTOCK | ||||
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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.