Kathleen Bandera, LCSW | |
21569 Sutton Dale Ln, Frankfort, IL 60423-2234 | |
(312) 403-7977 | |
Not Available |
Full Name | Kathleen Bandera |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21569 Sutton Dale Ln, Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619735875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.007662 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Bandera, LCSW 21569 Sutton Dale Ln, Frankfort, IL 60423-2234 Ph: (312) 403-7977 | Kathleen Bandera, LCSW 21569 Sutton Dale Ln, Frankfort, IL 60423-2234 Ph: (312) 403-7977 |
Ms. Jennifer Marie Startz, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 E Colorado Ave, Frankfort, IL 60423 Phone: 815-274-5448 | |
Victoria Lyn Deitche, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53 Old Frankfort Way, Frankfort, IL 60423 Phone: 708-361-6500 | |
Ms. Judith Claire Osborn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7452 W Benton Dr, Frankfort, IL 60423 Phone: 815-469-8009 Fax: 815-469-8009 | |
Sherrie Michelle Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20550 N Lagrange Rd, Frankfort, IL 60423 Phone: 815-579-9002 | |
Rachel Nicole Reule, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20855 S La Grange Rd, Frankfort, IL 60423 Phone: 815-806-9300 | |
Anita L Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20015 S Lagrange Rd, Frankfort, IL 60423 Phone: 708-971-0224 | |
Jennifer Archbold, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10201 W Lincoln Hwy, Frankfort, IL 60423 Phone: 708-269-1516 |