DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHELLE BRACAMONTES

MEDICARE: MICHELLE BRACAMONTES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1295685790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE BRACAMONTES
Provider Business Mailing Address
First Line : 2625 N EVERGREEN AVE
Second Line :
City : WAUKEGAN
State : IL
Zip : 60087-3532
Country : US
Telephone Number : 224-219-6159
Fax Number :
Provider Business Practice Location Address
First Line : 917 SHERWOOD DR
Second Line :
City : LAKE BLUFF
State : IL
Zip : 60044-2224
Country : US
Telephone Number : 877-486-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

Similar Medicare Providers

1396130977 — AMIE KRAMP OTR/L
Practice Location Address:
917 SHERWOOD DR STE 201
LAKE BLUFF, IL
60044-2224
Practice Phone: 877-486-4140
Practice Fax:
1437509916 — BRITTANY MARIE VAN AUKEN M.D.
Practice Location Address:
917 SHERWOOD DR
LAKE BLUFF, IL
60044-2224
Practice Phone: 847-295-1220
Practice Fax:
1245760099 — MEGHAN KATHERINE LEVY VERDICO M.S., CCC-SLP
Practice Location Address:
917 SHERWOOD DR STE 201
LAKE BLUFF, IL
60044-2224
Practice Phone: 877-486-4140
Practice Fax:
1316469190 — AUNDREA MONIQUE MARTINEZ
Practice Location Address:
917 SHERWOOD DR STE 201
LAKE BLUFF, IL
60044-2224
Practice Phone: 877-486-4140
Practice Fax:
1780184309 — CHARLES ALVARADO
Practice Location Address:
917 SHERWOOD DR
LAKE BLUFF, IL
60044-2224
Practice Phone: 877-486-4140
Practice Fax:
1639670631 — NELLYA YONOVICH
Practice Location Address:
917 SHERWOOD DR
LAKE BLUFF, IL
60044-2224
Practice Phone: 877-486-4140
Practice Fax:

Directions to “ MICHELLE BRACAMONTES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.