Address: 8239 S King Dr, Chicago, IL 60619-4961

STEPHANIE ROYAL CLINIC LLC (NPI# 1083207872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083207872
Entity Type Organization
Practice Address 8239 S King Dr
IL 60619-4961
Practice Telephone 9172045198
Mailing Address 47 W Polk St Ste 172
IL 60605-2000
Mailing Telephone 9172045198
Certification Date 2020-08-21
Enumeration Date 2021-02-12
Last Update Date 2021-02-12
Authorized Official Telephone 9172045198
Authorized Official Credential MS
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 8239 S KING DR
State IL
Zip Code 60619-4961

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306983150 Janie Nelson Counselor - Professional 810 E 81st Street, Chicago, IL 60619 2007-01-31
1720525280 Senior Healthcare Services Inc Physical Therapist 9133 South Stoney Island, Chicago, IL 60619 2017-01-23
1649610593 Zb Optical Inc. · Zoe Bernard Optical Technician/Technologist - Optician 7847 S Maryland Ave, Suite 100b, Chicago, IL 60619 2013-06-25
1619447497 Bria Stanciel Case Manager/Care Coordinator 8419 S Cottage Grove, Chicago, IL 60619 2018-12-05
1932652567 Md Orthotic & Prosthetic Laboratory, Inc. Prosthetic/Orthotic Supplier 1514 E 87th St Lowr Level, Chicago, IL 60619 2016-08-01
1326399155 Margaret Nekrosius Nurse Practitioner - Family 11 E 75th Street, Chicago, IL 60619 2012-09-19
1184153520 Jordane Kelley Nurse's Aide 7339 S Wabash Ave, Chicago, IL 60619 2017-06-08
1821647579 Deborah Joves Technician - Attendant Care Provider 8258 S. Woodlawn Ave, Chicago, IL 60619 2019-09-05
1750971339 Patricia Johnson Technician - Attendant Care Provider 8605 S. Dorchester Ave, Chicago, IL 60619 2021-01-19
1558668798 Julian Mario Allison Occupational Therapist 100 East 91st St, Chicago, IL 60619 2011-02-24
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Search similar providers

Zip Code 60619

Providers with similar names

NPI Name Taxonomy Address Enumeration
1902499791 Stephanie Royal · Sthephanie Royal Social Worker - Clinical 47 W Polk St Ste 172, Chicago, IL 60605-2000 2021-02-12
1013505155 Royal Rx Inc Pharmacy - Community/Retail Pharmacy 490 E Main St # 102, Denville, NJ 07834-2484 2021-01-05
1437725074 Demetrice Royal Registered Nurse 205 Park Hill Ave, Yonkers, NY 10705-1421 2021-06-03
1770602773 Louis Ray Royal Emergency Medicine 13-171 Building T4, 4th Floor, Room 03, Popular 3 Road, Muang Tang Thani, Pakkred, NONTHABURI 11120 2007-03-29
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1730779844 Ashlyn Royal Counselor - Mental Health 2007 N Collins Blvd Ste 301, Richardson, TX 75080-2666 2021-01-22
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Dataset Information

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.