| Kenneth Young Center | |
|
1001 Rohlwing Rd Elk Grove Village IL 60007-3217 | |
| (847) 524-8800 | |
| (847) 524-8824 |
| Full Name | Kenneth Young Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Rohlwing Rd, Elk Grove Village, Illinois |
| Authorized Official Name and Position | James Bruski (HUMAN RESOURCES MANAGER) |
| Authorized Official Contact | 8475248800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Young Center 1001 Rohlwing Rd Elk Grove Village IL 60007-3217 Ph: (847) 524-8800 | Kenneth Young Center 1001 Rohlwing Rd Elk Grove Village IL 60007-3217 Ph: (847) 524-8800 |
| NPI Number | 1629083241 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/10/2017 |
| Medicare PECOS PAC ID | 7416940655 |
|---|---|
| Medicare Enrollment ID | O20041109000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629083241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jerry J Gibbons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619080124 PECOS PAC ID: 0244291185 Enrollment ID: I20041022001153 |
| Provider Name | Lori Ann Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134135619 PECOS PAC ID: 2163443508 Enrollment ID: I20051213000413 |
| Provider Name | Lorna M Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730197906 PECOS PAC ID: 3577731447 Enrollment ID: I20110720000141 |
| Provider Name | Yvonne Suarez Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265545636 PECOS PAC ID: 6406011105 Enrollment ID: I20120703000094 |
| Provider Name | Jessica V Haack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134496045 PECOS PAC ID: 3678727930 Enrollment ID: I20130214000148 |
| Provider Name | John Fontaine Egger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346478377 PECOS PAC ID: 7618110768 Enrollment ID: I20130821000707 |
| Provider Name | Jane A Hawksley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437297637 PECOS PAC ID: 8426152422 Enrollment ID: I20150807013550 |
| Provider Name | Christina Nyree Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568890242 PECOS PAC ID: 6204128259 Enrollment ID: I20160712001210 |
| Provider Name | Conrad Duncker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549645 PECOS PAC ID: 5597094664 Enrollment ID: I20190916001094 |
| Provider Name | Christine Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740839539 PECOS PAC ID: 3870825656 Enrollment ID: I20191028002593 |
| Provider Name | Melissa Lynn Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780954784 PECOS PAC ID: 0345666004 Enrollment ID: I20200812003327 |
| Provider Name | Ashley Kangail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891383097 PECOS PAC ID: 6204241680 Enrollment ID: I20210217000762 |
| Provider Name | Rebecca Ann Horwitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326410192 PECOS PAC ID: 3971919630 Enrollment ID: I20210304001860 |
| Provider Name | Courtney Holbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578046579 PECOS PAC ID: 1658788138 Enrollment ID: I20210330000090 |
| Provider Name | Aleksandra Wojtowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225595994 PECOS PAC ID: 6103226279 Enrollment ID: I20210610001966 |
| Provider Name | Tami Marie Crumlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396358545 PECOS PAC ID: 1759786809 Enrollment ID: I20210827000079 |
| Provider Name | Natalie Polupan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174189880 PECOS PAC ID: 4587055116 Enrollment ID: I20211215001949 |
| Provider Name | Rosio Eloisa Rangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346662863 PECOS PAC ID: 0446641328 Enrollment ID: I20220104000891 |
| Provider Name | Kristen Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760907349 PECOS PAC ID: 6305231887 Enrollment ID: I20220320000007 |
| Provider Name | Nicole Szczepaniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396227443 PECOS PAC ID: 1052796836 Enrollment ID: I20220914002547 |
| Provider Name | Courtney Marie Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053892455 PECOS PAC ID: 9032585674 Enrollment ID: I20221021002045 |
| Provider Name | Adriana Arellano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689155152 PECOS PAC ID: 3476921529 Enrollment ID: I20221121001223 |
| Provider Name | John Horsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801920541 PECOS PAC ID: 2163693086 Enrollment ID: I20221201002393 |
| Provider Name | Alyssa Oddo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285231688 PECOS PAC ID: 0840660379 Enrollment ID: I20221228000595 |
| Provider Name | Abigail Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457958613 PECOS PAC ID: 1850762881 Enrollment ID: I20230130001177 |
| Provider Name | Stefanie Darryl V Segovia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730788332 PECOS PAC ID: 4082087713 Enrollment ID: I20230228002913 |
| Provider Name | Elizabeth Mary Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851944193 PECOS PAC ID: 9032583778 Enrollment ID: I20230321001910 |
| Provider Name | Michael Xavier Kittelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962101956 PECOS PAC ID: 3577937127 Enrollment ID: I20230321002844 |
| Provider Name | Nitza Solis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811512395 PECOS PAC ID: 4981069218 Enrollment ID: I20230420001356 |
| Provider Name | Kelly Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962891598 PECOS PAC ID: 3971968603 Enrollment ID: I20230502000224 |
| Provider Name | Melanie Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427579952 PECOS PAC ID: 9537519038 Enrollment ID: I20231226000789 |
| Provider Name | Mya Yee Nandar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710584834 PECOS PAC ID: 5092134312 Enrollment ID: I20240102002299 |
| Provider Name | Laura Nicole Angel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215467899 PECOS PAC ID: 3274977483 Enrollment ID: I20240215002518 |
| Provider Name | Laura Esposito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952940637 PECOS PAC ID: 1254775182 Enrollment ID: I20240220001136 |
| Provider Name | Dawn Baldwin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124559349 PECOS PAC ID: 7810331691 Enrollment ID: I20240220003371 |
| Provider Name | Katrina Mary Flesvig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821247180 PECOS PAC ID: 5193169787 Enrollment ID: I20240222002109 |
| Provider Name | Rachel Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326656497 PECOS PAC ID: 3375988652 Enrollment ID: I20240226003964 |
| Provider Name | Marina Milicevic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093123549 PECOS PAC ID: 5597100511 Enrollment ID: I20240229002996 |
| Provider Name | Christina Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366968877 PECOS PAC ID: 6002252434 Enrollment ID: I20240307003865 |
| Provider Name | Rae Magnani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720317407 PECOS PAC ID: 1759727753 Enrollment ID: I20240313001145 |
Alexian Brothers Medical Center Older Adult Behavioral Health Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 | |
Kenneth Young Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Neurology & Headache Clinic S C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Suite # 203, Elk Grove Village, IL 60007 Phone: 630-360-2299 Fax: 630-348-0071 | |
Kenneth Young Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 Jefferson Sq Apt C, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Next Step Recovery Homes Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Greensboro Ct, Elk Grove Village, IL 60007 Phone: 630-780-9925 | |
Bases Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Biesterfield Rd Ste 108, Elk Grove Village, IL 60007 Phone: 630-303-6825 |