Active NPI
Angelica Kladis
- Counselor
- Western Springs, IL
National Provider Identifier
1124475942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1023 Burlington Ave
Western Springs, IL 60558-1516 - Phone
- (708) 927-3988
- Fax
- (708) 784-9179
- NPI assigned
- May 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1023 Burlington Ave
Western Springs, IL 60558-1516
Mailing address
2853 Mayfair Ave
Westchester, IL 60154-5008
Phone (708) 610-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463875200000",
"number": "1124475942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 MAYFAIR AVE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545008",
"telephone_number": "708-610-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 BURLINGTON AVE",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581516",
"telephone_number": "708-927-3988",
"fax_number": "708-784-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLADIS",
"first_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-22",
"last_updated": "2016-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.