Momchil H Trayanov, LCSW | |
6155 Grand Ave Ste 200, Gurnee, IL 60031-1651 | |
(847) 535-7647 | |
(224) 271-6642 |
Full Name | Momchil H Trayanov |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6155 Grand Ave Ste 200, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912567678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149021314 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Momchil H Trayanov, LCSW 6155 Grand Ave Ste 200, Gurnee, IL 60031-1651 Ph: (847) 535-7647 | Momchil H Trayanov, LCSW 6155 Grand Ave Ste 200, Gurnee, IL 60031-1651 Ph: (847) 535-7647 |
Sandra Kaeding, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Greenleaf St Ste 228, Gurnee, IL 60031 Phone: 847-263-5872 Fax: 847-263-5850 | |
Miss Leighann Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4212 Old Grand Ave, Suite 102, Gurnee, IL 60031 Phone: 847-336-5621 Fax: 847-336-2594 | |
Sherie Joy Palmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4174 Lake Park Ave, Gurnee, IL 60031 Phone: 847-244-9850 | |
Sonia Dubose, MSW, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1761 N Dilleys Rd, Gurnee, IL 60031 Phone: 312-608-7369 | |
Ms. Janine G. Kasner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 501 N Riverside Dr, Suite 208, Gurnee, IL 60031 Phone: 847-263-1269 Fax: 847-263-1310 | |
Miss Yahaira N Torres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Riverside Dr Ste 201, Gurnee, IL 60031 Phone: 708-603-9499 | |
Mrs. Romaine A Van Zeyl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Greenleaf St, Suite 228, Gurnee, IL 60031 Phone: 847-263-5872 Fax: 847-263-5550 |