Euginia Ivanova
Counselor (Addiction (Substance Use Disorder))

Address: 3410 W. Roosevelt Rd, Chicago, IL 60624
Phone: 7738408083

Euginia Ivanova (NPI# 1669071932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1669071932
Entity Type Individual
Full Name Euginia Ivanova
Credential MSW, CADC
Gender Female
Practice Address 3410 W. Roosevelt Rd
IL 60624
Practice Telephone 7738408083
Practice Fax Number 7738262966
Mailing Address 3410 W Roosevelt Rd
IL 60624-4343
Mailing Telephone 7738408083
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-10-19
Last Update Date 2020-10-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers 33248 IL

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1073127775 Deborah Lynn Dettman Counselor 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 2020-09-01
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1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
1801447552 Erika Chawla Counselor 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 2019-09-24
1336790310 Robert J Smith Counselor 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 2019-09-22
1255997987 Austin Hall Counselor 2942 W Lake St, Chicago, IL 60612-1924 2019-05-17
1417418914 Monica Connelly Counselor 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 2019-03-27
1336608439 Columbus Manor Counselor 5107 W Jackson Blvd, Chicago, IL 60644-4316 2019-03-18
1972062958 Patricia B Flaherty Counselor 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 2019-03-18
1467910620 Lauren Mccrary Counselor 225 W Washington St Ste 200, Chicago, IL 60606-3483 2019-03-06
Find all providers in CHICAGO

Office Location

Street Address 3410 W. ROOSEVELT RD
State IL
Zip Code 60624

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629619572 Denise R Bean Technician 3322 West Polk St, Chicago, IL 60624 2019-10-02
1033693742 Ahmed Hussain Memon Nurse Practitioner 3800 West Madison, Chicago, IL 60624 2018-09-18
1487104006 Jeffrey Blythe Social Worker 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 2016-10-06
1366992216 Brian Macwilliams Social Worker 3605 W. Fillmore St, Chicago, IL 60624 2016-10-04
1982151510 Darryl Lamont Clayton Counselor 3605 W. Fillmore, Chicago, IL 60624 2016-09-01
1821487646 Total Enrichment Services Inc. Counselor 3335 W Washington Blvd, Chicago, IL 60624 2015-01-16
1295038818 Raad N Rashan M D S C Internal Medicine 3743 W Chicago Ave, Chicago, IL 60624 2010-12-21
1194044453 Theresa Roberts Speech-Language Pathologist 3240 W. Franklin Blvd, Chicago, IL 60624 2010-05-26
1154570208 Ht Outpatient Pharmacy Pharmacy 3435 W Vanburen St, Chicago, IL 60624 2008-09-13
1164552055 Mohammed Jawad Ali Internal Medicine 732 South Pulaski Road, Chicago, IL 60624 2007-03-07
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Zip Code 60624

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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.