Heather Lopez, | |
5000 S 5th Ave, Hines, IL 60141-3030 | |
(773) 202-2716 | |
Not Available |
Full Name | Heather Lopez |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5000 S 5th Ave, Hines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598130064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Post Acute Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
Entity Name | Altea Medical Illinois Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
Mailing Address | Practice Location Address |
---|---|
Heather Lopez, 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (773) 202-2716 | Heather Lopez, 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (773) 202-2716 |
Mr. Frank Redin Vozak Iii, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Fifth Avenue And Roosevelt Road, Hines, IL 60141 Phone: 708-202-2822 | |
Emily Ritter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Ms. Ruth Lillian Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5th Avenue And Roosevelt Road, Hines, IL 60141 Phone: 708-202-2080 | |
Sophia A Register, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-5563 | |
Mr. William Charles Baxter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5th Ave & Roosevelt Rd, Hines, IL 60141 Phone: 708-202-4961 Fax: 708-202-4954 | |
Ms. Mariann Blacconiere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5th Ave, Hines, IL 60141 Phone: 708-202-2107 | |
Ms. Elizabeth Jean Gallichio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Hines Va Hospital, Roosevelt And 5th Ave., Hines, IL 60141 Phone: 708-202-4128 Fax: 708-202-4954 |