Jillu Panavelil Mathew, | |
119 Blackhawk Ct Unit 5, Wood Dale, IL 60191-2813 | |
(201) 527-5309 | |
Not Available |
Full Name | Jillu Panavelil Mathew |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 119 Blackhawk Ct Unit 5, Wood Dale, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730628793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.020218 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Richard Kneip, Ph.d., P.c. | 4880768415 | 182 |
Entity Name | Richard Kneip, Ph.d., P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
Entity Name | Cognitive Care Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013532191 PECOS PAC ID: 4385069640 Enrollment ID: O20200803003033 |
Mailing Address | Practice Location Address |
---|---|
Jillu Panavelil Mathew, 119 Blackhawk Ct Unit 5, Wood Dale, IL 60191-2813 Ph: (201) 527-5309 | Jillu Panavelil Mathew, 119 Blackhawk Ct Unit 5, Wood Dale, IL 60191-2813 Ph: (201) 527-5309 |
Robert A Lasica, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 144 Spring Oaks Dr, Wood Dale, IL 60191 Phone: 630-842-4477 | |
Christiane Diane Czajka, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 169 Brookwood Pl, Wood Dale, IL 60191 Phone: 773-544-7797 | |
Anne-jessica Steed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 E Deerpath Rd, Wood Dale, IL 60191 Phone: 630-216-9383 |