Active NPI
Lilian Galvez
- Case Manager/Care Coordinator
- Waukegan, IL
National Provider Identifier
1467100677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 415 Washington St Ste 200
Waukegan, IL 60085-5564 - Phone
- (847) 441-5600
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | IL | Primary |
Addresses
Primary practice location
415 Washington St Ste 200
Waukegan, IL 60085-5564
Mailing address
405 Central Ave
Northfield, IL 60093-3006
Phone (847) 441-5600
Other practice location 1
170 School Dr
Round Lake, IL 60073-3266
Phone (224) 540-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073548640 | Other | IL | MENTAL HEALTH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Josselyn Center NFP | Current | Accepting new patients |
Locations
405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603
415 Washington St
Ste 200
Waukegan, IL 60085
Phone (224) 290-1259
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1649806407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1467100677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 CENTRAL AVE",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933006",
"telephone_number": "847-441-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 WASHINGTON ST STE 200",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600855564",
"telephone_number": "847-441-5600"
}
],
"practiceLocations": [
{
"address_1": "170 School Dr",
"address_purpose": "LOCATION",
"city": "Round Lake",
"state": "IL",
"postal_code": "600733266",
"country_code": "US",
"telephone_number": "224-540-4272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVEZ",
"first_name": "LILIAN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH",
"identifier": "1073548640",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.