Jeffrey Samuels, | |
1011 W Wellington Ave Ste 210, Chicago, IL 60657-7187 | |
(312) 900-8642 | |
Not Available |
Full Name | Jeffrey Samuels |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 1011 W Wellington Ave Ste 210, Chicago, 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 |
---|---|---|---|
1316405814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023499 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr. David Rakofsky Pc | 6103001797 | 9 |
Entity Name | Dr. David Rakofsky Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760663322 PECOS PAC ID: 6103001797 Enrollment ID: O20110425000799 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Samuels, 1011 W Wellington Ave Ste 210, Chicago, IL 60657-7187 Ph: (312) 900-8642 | Jeffrey Samuels, 1011 W Wellington Ave Ste 210, Chicago, IL 60657-7187 Ph: (312) 900-8642 |
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Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517 | |
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168 | |
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