Mr David Jay Fish, MSW | |
29w120 Butterfield Rd Ste 104a, Warrenville, IL 60555-2830 | |
(630) 393-4010 | |
(630) 393-4010 |
Full Name | Mr David Jay Fish |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 29w120 Butterfield Rd Ste 104a, Warrenville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205983475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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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 |
---|---|
Mr David Jay Fish, MSW 29w120 Butterfield Rd Ste 104a, Warrenville, IL 60555-2830 Ph: (630) 393-4010 | Mr David Jay Fish, MSW 29w120 Butterfield Rd Ste 104a, Warrenville, IL 60555-2830 Ph: (630) 393-4010 |
Jacqueline Orozco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4320 Winfield Rd Ste 200, Warrenville, IL 60555 Phone: 312-801-5100 | |
Mary J Katsahnias, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29w170 Butterfield Rd Ste 103, Warrenville, IL 60555 Phone: 630-447-9692 | |
Amanda Heldmann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Weaver Pkwy Ste 100, Warrenville, IL 60555 Phone: 630-416-8289 | |
Tammy Hildebrand, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 27475 Ferry Rd Ste 105, Warrenville, IL 60555 Phone: 630-699-7254 | |
Elizabeth Marie Fannin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4320 Winfield Rd, Warrenville, IL 60555 Phone: 773-234-3993 | |
Krystina M Starkey, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4320 Winfield Rd Ste 200, Warrenville, IL 60555 Phone: 815-303-3797 |