Jonathon Eugene Larson in Winthrop Harbor - Professional
Jonathon Eugene Larson - NPI 1629297098
Jonathon Eugene Larson is a Professional in Winthrop Harbor, Illinois. Jonathon Eugene Larson practices all healthcare services and medical treatments related to Professional. The NPI Number for Jonathon Eugene Larson is 1629297098. The last update date is 2016-12-16.
Jonathon Eugene Larson's current location address is 920 Washington Avenue, Winthrop Harbor, Illinois. You can contact this provider via phone number 2242160095. The mailing address for Jonathon Eugene Larson is 920 Washington Avenue, Winthrop Harbor, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon Eugene Larson |
|---|---|
| Address | 920 Washington Avenue, Winthrop Harbor, Illinois |
| Phone Number | 2242160095 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D., CRC |
NPI Number Detail
| NPI Number | 1629297098 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2016-12-16 |
Provider Mailing Address Detail
| Address | 920 Washington Avenue |
|---|---|
| City | Winthrop Harbor |
| State | Illinois (IL) |
| Post Code | 60096 |
| Phone Number | 2242160095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180.0064665 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code issued to Jonathon Eugene Larson by the Centers for Medicare & Medicaid Services?
The Jonathon Eugene Larson has been assigned the NPI (National Provider Identifier) 1629297098 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jonathon Eugene Larson is physically located?
The Jonathon Eugene Larson is situated at the following address: 920 Washington Avenue, Winthrop Harbor, IL 60096.
What is Jonathon Eugene Larson's area of expertise and its corresponding taxonomy classification?
The Jonathon Eugene Larson's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629297098 to Jonathon Eugene Larson?
The Centers for Medicare & Medicaid Services originally issued the 1629297098 to Jonathon Eugene Larson on 2007-04-24.
When was the information regarding Jonathon Eugene Larson most recently updated?
The details pertaining to the Jonathon Eugene Larson, including its address, specialty, and other relevant information, were last refreshed on 2016-12-16.