Kristine Bukala, LCSW | |
25224 W Eames St Ste C, Channahon, IL 60410-5256 | |
(815) 467-8181 | |
Not Available |
Full Name | Kristine Bukala |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 25224 W Eames St Ste C, Channahon, 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 |
---|---|---|---|
1336679455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149019565 (Illinois) | Primary |
104100000X | Social Worker | 150015098 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Counseling And Coaching Of Illinois Llc | 5496093213 | 10 |
Entity Name | Morris Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558466268 PECOS PAC ID: 1850372459 Enrollment ID: O20040528000663 |
Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
Mailing Address | Practice Location Address |
---|---|
Kristine Bukala, LCSW 25224 E Eames St, Suite C, Channahon, IL 60410 Ph: (815) 467-8181 | Kristine Bukala, LCSW 25224 W Eames St Ste C, Channahon, IL 60410-5256 Ph: (815) 467-8181 |
Lisa M Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26926 W Hemlock Rd, Channahon, IL 60410 Phone: 630-267-5325 Fax: 815-467-0257 | |
Mrs. Deanna Carol Watson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23157 S Thomas Dillon Dr, Channahon, IL 60410 Phone: 815-467-8181 | |
Tedd W. Mccauley, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24735 W Eames St Unit 11, Channahon, IL 60410 Phone: 815-290-5076 Fax: 815-467-4938 | |
Mrs. Lindsey Craven, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25224 W Eames St, Channahon, IL 60410 Phone: 815-467-8181 | |
Amanda Layne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26229 W Prairie Ct, Channahon, IL 60410 Phone: 708-257-7837 | |
Phyllis Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23057 W Andrew Ave, Channahon, IL 60410 Phone: 815-922-3168 |