Mr Jerome J Klinkner, LCSW | |
6450 N Ridge Blvd, Chicago, IL 60626-4804 | |
(773) 743-8700 | |
Not Available |
Full Name | Mr Jerome J Klinkner |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 45 Years |
Location | 6450 N Ridge Blvd, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124273149 | NPI | - | NPPES |
K20147 | Other | IL | MEDICARE, PROVIDER ID, PROVIDER IN A GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-007838 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deer Oaks Mid West Llc | 2264762681 | 13 |
Entity Name | Deer Oaks Mid West Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerome J Klinkner, LCSW 305 Ridge Ave Apt 1, Evanston, IL 60202-6416 Ph: (847) 866-9067 | Mr Jerome J Klinkner, LCSW 6450 N Ridge Blvd, Chicago, IL 60626-4804 Ph: (773) 743-8700 |
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 |