Alexander Chacko, LCSW, MS, PHD | |
104 E Queenwood Rd, Suite 203, Morton, IL 61550-2949 | |
(309) 263-4244 | |
Not Available |
Full Name | Alexander Chacko |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 104 E Queenwood Rd, Morton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417901620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | IL149009399 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deer Oaks Mid West Llc | 2264762681 | 13 |
Entity Name | Deer Oaks Mid West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
Mailing Address | Practice Location Address |
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Alexander Chacko, LCSW, MS, PHD 104 E Queenwood Rd, Suite 203, Morton, IL 61550-2949 Ph: (309) 263-4244 | Alexander Chacko, LCSW, MS, PHD 104 E Queenwood Rd, Suite 203, Morton, IL 61550-2949 Ph: (309) 263-4244 |
Victoria L Mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 E Queenwood Rd, Morton, IL 61550 Phone: 309-263-5565 Fax: 309-263-9336 | |
Kathy Knochel, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 E Highland St, Morton, IL 61550 Phone: 093-263-5536 | |
Alyssa Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 E Queenwood Rd, Morton, IL 61550 Phone: 309-263-5565 Fax: 309-263-9336 | |
Amber Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 E Highland St, Morton, IL 61550 Phone: 309-263-5536 | |
Mr. Darin Scott Hoffmire, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 South Fourth Street, Morton, IL 61550 Phone: 309-266-6429 | |
Allison Dierker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 N Pennsylvania Ave, Morton, IL 61550 Phone: 309-369-3351 | |
Mrs. Stacey Lane Reeder, M.S.S.A., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 E Queenwood Rd, Morton, IL 61550 Phone: 309-263-5565 |