Alexander Race, | |
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
(815) 334-5000 | |
Not Available |
Full Name | Alexander Race |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4201 W Medical Center Dr, Mchenry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912397365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149024852 (Illinois) | Primary |
Entity Name | The Tabor Therapy Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629480587 PECOS PAC ID: 2365712361 Enrollment ID: O20171011001973 |
Mailing Address | Practice Location Address |
---|---|
Alexander Race, 1148 Heavens Gate, Lake In The Hills, IL 60156-4868 Ph: (618) 663-8335 | Alexander Race, 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5000 |
Laura Devries, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Veterans Parkway, Mchenry, IL 60050 Phone: 815-385-6400 | |
Karla K Solis, LCSW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Veterans Pkwy, Mchenry, IL 60050 Phone: 815-385-6400 Fax: 815-385-8127 | |
Rosa R Soto, ROSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4031 W Dayton St, Mchenry, IL 60050 Phone: 815-344-1230 | |
Michael Vandekreke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3923 Mercy Drive, Suite F, Mchenry, IL 60050 Phone: 815-344-5061 Fax: 815-344-5072 | |
Ms. Sheri Ann Bland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4100 Veterans Pkwy, Mchenry, IL 60050 Phone: 815-385-6400 | |
Larisa Joyce Mceachran Leader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1907 Pine Dr, Mchenry, IL 60051 Phone: 734-740-8877 | |
Carly Crossman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4904 Key Ln, Mchenry, IL 60050 Phone: 815-347-9545 |