Januari Wilson, LCSW | |
6502 Joliet Rd Fl 2, Countryside, IL 60525-4613 | |
(708) 251-8400 | |
Not Available |
Full Name | Januari Wilson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6502 Joliet Rd Fl 2, Countryside, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366132052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149015573 (Illinois) | Primary |
Entity Name | Oak Forest Psychological Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265487060 PECOS PAC ID: 6507762580 Enrollment ID: O20031210000634 |
Entity Name | Oak Forest Psychological Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225209414 PECOS PAC ID: 6507762580 Enrollment ID: O20040326001218 |
Mailing Address | Practice Location Address |
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Januari Wilson, LCSW 18544 Lyn Ct, Homewood, IL 60430-3816 Ph: (708) 439-6453 | Januari Wilson, LCSW 6502 Joliet Rd Fl 2, Countryside, IL 60525-4613 Ph: (708) 251-8400 |
Ms. Kate M Speiser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9649 W 55th St, Countryside, IL 60525 Phone: 708-352-3580 | |
Mary P Marinze, PSY.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6502 Joliet Rd, Countryside, IL 60525 Phone: 708-215-8400 Fax: 708-215-8410 | |
Amelia Lambert, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7023 Willow Springs Rd Apt 201, Countryside, IL 60525 Phone: 630-240-2721 | |
Mrs. Marcy Minshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9649 W 55th St, Countryside, IL 60525 Phone: 708-482-8646 Fax: 708-352-3763 | |
Amelia Joseph, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5220 East Ave, Countryside, IL 60525 Phone: 708-745-5277 | |
Edwin D Johnson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6502 Joliet Rd, Countryside, IL 60525 Phone: 708-215-8400 |