| Mr Jeremy Brook Hisaw, LCSW | |
|
1 E Superior St, Suite #310, Chicago, IL 60611-2507 | |
| (773) 403-0473 | |
| Not Available |
| Full Name | Mr Jeremy Brook Hisaw |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1 E Superior St, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083701429 | NPI | - | NPPES |
| 1636404 | Other | IL | BC/BS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Brook Hisaw, LCSW 1733 W Crystal St, Unit B, Chicago, IL 60622-8801 Ph: (773) 403-0473 | Mr Jeremy Brook Hisaw, LCSW 1 E Superior St, Suite #310, Chicago, IL 60611-2507 Ph: (773) 403-0473 |
Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751 | |
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977 | |
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808 | |
Mrs. Imelda Gloria Ferreira, LCWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4150 W. 55th Street, Chicago, IL 60632 Phone: 312-745-1566 | |
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517 | |
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168 | |
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576 |