Active NPI
Alainya Christine Bandy, LSW
- Social Worker
- Waukegan, IL
National Provider Identifier
1720424872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.014248
- Practice address
- 3010 Grand Ave
Waukegan, IL 60085-2321 - Phone
- (847) 377-8266
- NPI assigned
- May 16, 2013
- Last updated
- May 16, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.014248 | IL | Primary |
Addresses
Primary practice location
3010 Grand Ave
Waukegan, IL 60085-2321
Mailing address
6936 Bennington Dr
Gurnee, IL 60031-4053
Phone (773) 341-6228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.014248 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1720424872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 BENNINGTON DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314053",
"telephone_number": "773-341-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 GRAND AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852321",
"telephone_number": "847-377-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDY",
"first_name": "ALAINYA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.014248",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.