LEON JOHN DIBIASIO (NPI# 1992091342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992091342 |
| Entity Type | Individual |
| Full Name | LEON JOHN DIBIASIO |
| Credential | M.A., NCC, LCPC |
| Practice Address |
3317 W 95th St Ste 101 Evergreen Park IL 60805-2243 |
| Mailing Address |
6508 Barclay Ct Downers Grove IL 60516-2465 |
| Practice Telephone | 7734580161 |
| Mailing Telephone | 7734580161 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.007903 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6508 Barclay Ct, Downers Grove, IL 605162465 | 7734580161 |
| Street Address |
3317 W 95TH ST STE 101 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842814 | Michael Anderson | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2020-08-17 |
| 1558902023 | Olivia Brooks | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2019-10-04 |
| 1649837188 | Kathleen Ann Odwyer | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2019-05-21 |
| 1275030199 | Samantha Kelsey Agins | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2018-04-08 |
| 1821509118 | Amy Morvay | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2017-10-13 |
| 1376081554 | Charita Graham | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2017-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016166 | Margaret Knapp | Counselor | 9616 S Maplewood Ave, Evergreen Park, IL 60805-2712 | 2016-07-07 |
| 1801244413 | Joseph H Campbell IIi | Counselor | 9721 S Albany Ave, Unit 2, Evergreen Park, IL 60805-3120 | 2016-05-25 |
| 1669847430 | John William Hallinan | Counselor | 9807 S Albany Ave, Evergreen Park, IL 60805-3122 | 2015-12-04 |
| 1437589660 | Carla Carter | Counselor | 9416 S Harding Ave, Evergreen Park, IL 60805-1919 | 2013-11-25 |
| 1003155672 | Aditra Allison Albright | Counselor | 9201 S Clifton Park Ave, Evergreen Park, IL 60805-1508 | 2013-02-02 |
| 1245459106 | Ana Lilia Javier-etapa | Counselor | 3317 W 95th St Ste 205, Evergreen Park, IL 60805-2243 | 2007-04-25 |
| 1245842814 | Michael Anderson | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2020-08-17 |
| 1538707559 | Anne Marie Novotny | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-12-20 |
| 1558902023 | Olivia Brooks | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2019-10-04 |
| 1063078947 | Chaunte Wilder | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-05-15 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
Please comment or provide details below to improve the information on LEON JOHN DIBIASIO.
| 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.