Fitzgerald Ajoku, | |
30047 N Waukegan Rd, Lake Bluff, IL 60044-1023 | |
(914) 609-1183 | |
Not Available |
Full Name | Fitzgerald Ajoku |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 30047 N Waukegan Rd, Lake Bluff, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104583418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
Mailing Address | Practice Location Address |
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Fitzgerald Ajoku, 30047 N Waukegan Rd, Lake Bluff, IL 60044-1023 Ph: () - | Fitzgerald Ajoku, 30047 N Waukegan Rd, Lake Bluff, IL 60044-1023 Ph: (914) 609-1183 |
Audrey Lynn Grunst, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 North Shore Dr Ste 279, Lake Bluff, IL 60044 Phone: 414-688-3516 | |
Barbara Mary Lemke Hagstrom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 N Skokie Hwy, Suite 203, Lake Bluff, IL 60044 Phone: 847-604-8330 | |
Ms. Julie Marie Cummings, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 North Shore Dr., Suite #200, Lake Bluff, IL 60044 Phone: 847-793-0788 Fax: 847-793-0789 | |
Katherine A Letourneau, JC, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 N Waukegan Rd, Suite 101, Lake Bluff, IL 60044 Phone: 847-902-2275 | |
Jennifer Dahl Crane, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 917 Sherwood Dr, Suite 201, Lake Bluff, IL 60044 Phone: 877-486-4140 Fax: 847-486-4145 | |
Lenore Deutsch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 917 Sherwood Dr, Suite 201, Lake Bluff, IL 60044 Phone: 877-486-4140 |