Jeannine Harris, LCSW | |
849 Maple Ave, Homewood, IL 60430-2066 | |
(708) 414-0095 | |
Not Available |
Full Name | Jeannine Harris |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 849 Maple Ave, Homewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861852345 | NPI | - | NPPES |
149.017907 | Other | IL | ILLINOIS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149.017907 (Illinois) | Primary |
Entity Name | Linq Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710519335 PECOS PAC ID: 1456779669 Enrollment ID: O20221006000091 |
Mailing Address | Practice Location Address |
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Jeannine Harris, LCSW Po Box 439456, Chicago, IL 60643-9456 Ph: () - | Jeannine Harris, LCSW 849 Maple Ave, Homewood, IL 60430-2066 Ph: (708) 414-0095 |
Melissa Huff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17900 Dixie Hwy, Suite 11, Homewood, IL 60430 Phone: 708-546-9204 | |
Susan Yacobellis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2024 Hickory Rd, Suite 104, Homewood, IL 60430 Phone: 708-798-6823 | |
Kathleen M Dalsanto, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18132 Martin Ave, Homewood, IL 60430 Phone: 708-957-3695 Fax: 708-957-3695 | |
Raven Burns, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Ridge Rd Ste 1s, Homewood, IL 60430 Phone: 708-637-1672 | |
Ms. Rachel Sahtout, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18161 Morris Ave Ste 102, Homewood, IL 60430 Phone: 708-349-5433 Fax: 708-349-5433 | |
Ellen Agnes Wiggins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18154 Martin Ave, Suite 3, Homewood, IL 60430 Phone: 708-206-2755 Fax: 773-429-1841 | |
Ms. Freda S. Hardaway, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 849 Maple Ave, Suite 905, Homewood, IL 60430 Phone: 708-799-5862 |