Entourage Clinical Services, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ENTOURAGE CLINICAL SERVICES, INC

Practice address

697 S Lake St
Mundelein, IL 60060-3658

Phone

(847) 406-0789

NPI assigned

Feb 1, 2017

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melanie E Dillon, LCPC, NCC, CADCNPI 1215037031

Title

President

Phone

(847) 393-5646

Specialties & licenses 11

Addresses

Tax ID family

Entourage Clinical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Entourage Clinical Services, Inc

  • Professional Counselor
  • West Dundee, IL
  • NPI 1063950822
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Elise Dillon, L.C.P.C.

  • Professional Counselor
  • Mundelein, IL
  • NPI 1215037031
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1740728500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BURNETT AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468670",
            "telephone_number": "847-393-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 S LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603658",
            "telephone_number": "847-406-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTOURAGE CLINICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-393-5646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, NCC, CADC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen E. Tkach, DDS, P.C.
• Karim Elothmani, DMD
• Enduro Physical Therapy, LLC
• Jonathan Alan Engstrom, D.C.
• Enhanced Medical Supplies Co
• David Lamont Ericson, M.D.
• Joseph Escobar, ANP
• Ev Dental Health PC
• Everwell Wound Care Professional LLC
• Excelsior Medical Center LTD

• Professional Counselor in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.