| Angelique Bianca White-millwood, MSW | |
|
830 S Addison Ave, Villa Park, IL 60181-2877 | |
| (630) 620-4433 | |
| Not Available |
| Full Name | Angelique Bianca White-millwood |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 830 S Addison Ave, Villa Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295349538 | NPI | - | NPPES |
| 14952860 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
| 104100000X | Social Worker | (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.024805 (Illinois) | Primary |
| Entity Name | Vitae Health Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Bianca White-millwood, MSW 120 S Marion St, Oak Park, IL 60302-2809 Ph: (708) 383-7500 | Angelique Bianca White-millwood, MSW 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 |
Brittany Kaye Wilkie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Gloria A Sanchez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1500 S Ardmore Ave Apt 212, Villa Park, IL 60181 Phone: 630-525-0113 | |
Ms. Sharon J. Depowski, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 840 S Wisconsin Ave, Villa Park, IL 60181 Phone: 630-903-6006 Fax: 630-903-6081 | |
Miss Sandra Jay Zeidler, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 E Saint Charles Road, Villa Park, IL 60181 Phone: 630-833-4022 Fax: 630-833-4011 | |
Shannon Haut, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 544 S Cornell Ave, Villa Park, IL 60181 Phone: 630-993-0100 | |
Melissa Ruggirello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 437 S Riverside Dr, Villa Park, IL 60181 Phone: 773-875-3379 |