Michael Xavier Kittelton, LCSW | |
1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | |
(847) 524-8800 | |
(847) 524-8824 |
Full Name | Michael Xavier Kittelton |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1001 Rohlwing Rd, Elk Grove Village, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962101956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Kenneth Young Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272 |
Mailing Address | Practice Location Address |
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Michael Xavier Kittelton, LCSW 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 Ph: (847) 524-8800 | Michael Xavier Kittelton, LCSW 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 Ph: (847) 524-8800 |
Steven Wilcox, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Jean K Tiernan, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Alyssa Bentsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Lori Sutherland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 Fax: 847-524-8824 | |
Mrs. Linda Vo Andrews, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 Fax: 847-524-3823 | |
Joshua M Rich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 224-482-8500 | |
Judith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 Fax: 847-524-8824 |