KEIGHT NEOMA DIJKSTRA (NPI# 1043804602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043804602 |
| Entity Type | Individual |
| Full Name | KEIGHT NEOMA DIJKSTRA |
| Other Name | MARY KATHRYN YUELLIG (Former Name) |
| Gender | Female |
| Practice Address | 840 W. Irving Road Suite 302 Chicago IL 60622-6061 |
| Practice Telephone | 5135756227 |
| Mailing Address | 840 W. Irving Road Suite 302 Chicago IL 60622-6061 |
| Mailing Telephone | 5135756227 |
| Certification Date | 2021-02-08 |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YM0800X | Counselor Specialization: Mental Health | Behavioral Health & Social Service Providers |
| Street Address | 840 W. IRVING ROAD SUITE 302 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-6061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124619374 | Leah Paskero | Case Manager/Care Coordinator | 1600 N Marshfield Ave Unit 201, Chicago, IL 60622 | 2021-01-31 |
| 1447880471 | Erikson Institute | Clinic/Center · Mental Health (Including Community Mental Health Center) | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor · Mental Health | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1366001133 | Dagni Coromoto Chuki Naguanagua | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd Fl 2, Chicago, IL 60622 | 2019-06-06 |
| 1073076105 | Nichole Galullo | Social Worker · Clinical | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist · Counseling | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor · Professional | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720673270 | Aimee Rebecca Fizor | 2837 W Logan Blvd # 2, Chicago, IL 60647-1729 | 2021-03-06 | |
| 1083209605 | Leah M Hoane | 420 W Surf St Apt 205, Chicago, IL 60657-6114 | 2021-03-05 | |
| 1346835840 | Tothyanna Reshanee White | 30 N Michigan Ave Ste 809, Chicago, IL 60602-3776 | 2021-03-05 | |
| 1568057115 | Nocd New Hampshire PC | 225 N Michigan Ave Ste 1430, Chicago, IL 60601-7653 | 2021-03-05 | |
| 1134714819 | Alfonso Trevino Jr. | 840 W Irving Park Rd Ste 302, Chicago, IL 60613-3011 | 2021-03-04 | |
| 1487249082 | Nocd Kentucky PC | 225 N Michigan Ave Ste 1430, Chicago, IL 60601-7653 | 2021-03-04 | |
| 1508451493 | Nocd Connecticut PC | 225 N Michigan Ave Ste 1430, Chicago, IL 60601-7653 | 2021-03-03 | |
| 1740875558 | Lynne Marie Roberts | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2021-03-03 | |
| 1952995169 | Samantha Michelle Ege | 1700 W Irving Park Rd Ste 301, Chicago, IL 60613-2462 | 2021-02-28 | |
| 1659965952 | Maritza Reyes | 5623 S Francisco Ave, Chicago, IL 60629-2112 | 2021-02-26 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1578011235 | David Luke Dijkstra | Chiropractor · Sports Physician | 10 Corey Ln, Mendham, NJ 07945-3309 | 2016-09-12 |
| 1639483894 | Kim Bui Dijkstra | Occupational Therapist | 7414 Autumn Wood Dr, Harrisburg, PA 17112-8805 | 2010-07-29 |
| 1659335354 | Jacob Willem E Dijkstra | Dermatology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-12 |
| 1952633166 | Etzer-Jan Dijkstra | Physical Therapist | 7414 Autumn Wood Dr, Harrisburg, PA 17112-8805 | 2010-02-12 |
| 1376630988 | Neoma S George | Internal Medicine · Clinical Cardiac Electrophysiology | 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 | 2006-10-06 |
| 1578566337 | Cynthia Neoma Sanford | Nurse Practitioner · Pediatrics | 101 Oklahoma Ave, Mcalester, OK 74501-7520 | 2005-05-24 |
| 1083005482 | Neoma Stoltzfus-Dover | Specialist | 630 Haines Ave Nw, Albuquerque, NM 87102-1226 | 2015-02-07 |
| 1235774498 | Maarten Christopher Dijkstra | Counselor · Addiction (Substance Use Disorder) | 27281 Las Ramblas Ste 140, Mission Viejo, CA 92691-6387 | 2019-11-12 |
| 1235345950 | Laura Hill Dijkstra | Physical Therapist | 1581 State Route 23, Wayne, NJ 07470-7508 | 2007-05-16 |
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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.