Douglas Van Til, LCSW | |
24755 S Country Ln, Crete, IL 60417-2658 | |
(800) 361-6880 | |
(708) 845-5500 |
Full Name | Douglas Van Til |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 45 Years |
Location | 24755 S Country Ln, Crete, 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 |
---|---|---|---|
1720359441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.001256 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chicago Christian Counseling Center Inc | 1052395258 | 16 |
Entity Name | Chicago Christian Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664510 PECOS PAC ID: 1052395258 Enrollment ID: O20040615001668 |
Mailing Address | Practice Location Address |
---|---|
Douglas Van Til, LCSW 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 Ph: (708) 845-5500 | Douglas Van Til, LCSW 24755 S Country Ln, Crete, IL 60417-2658 Ph: (800) 361-6880 |
Mrs. Ebony Kozelsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26451 S Woodlawn Ave, Crete, IL 60417 Phone: 708-573-9091 | |
Dashawn Hunter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 534 1st St Ste A, Crete, IL 60417 Phone: 708-880-7747 Fax: 708-880-7787 | |
Alma Crystal Ramirez, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 534 1st St Ste A, Crete, IL 60417 Phone: 708-880-7747 | |
Paula Thigpen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2518 E Creekwood Ct, Crete, IL 60417 Phone: 773-858-7412 | |
Harmoni Kimberli Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3509 Donovan Dr, Crete, IL 60417 Phone: 708-518-9880 |