Mary Alice Off, | |
2329 Ridgeway Ave, Evanston, IL 60201-1855 | |
(847) 962-7664 | |
Not Available |
Full Name | Mary Alice Off |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2329 Ridgeway Ave, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841542917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.009282 (Illinois) | Primary |
Entity Name | Energize Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295389666 PECOS PAC ID: 0840529715 Enrollment ID: O20190903001937 |
Mailing Address | Practice Location Address |
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Mary Alice Off, 2329 Ridgeway Ave, Evanston, IL 60201-1855 Ph: (847) 962-7664 | Mary Alice Off, 2329 Ridgeway Ave, Evanston, IL 60201-1855 Ph: (847) 962-7664 |
Tabitha Ledbetter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-6262 Fax: 847-316-2214 | |
Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703 | |
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467 | |
Gabrielle Celia Stern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305 | |
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207 | |
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266 | |
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288 |