Mrs Sibil Rose Kuruvilla, LCSW | |
1414 Main St, Melrose Park, IL 60160-3902 | |
(708) 681-0073 | |
Not Available |
Full Name | Mrs Sibil Rose Kuruvilla |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1414 Main St, Melrose Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629370051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.014356 (Illinois) | Primary |
Entity Name | Presence Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20031212000734 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sibil Rose Kuruvilla, LCSW 1042 Woodlake Dr, Carol Stream, IL 60188-6092 Ph: (630) 740-5102 | Mrs Sibil Rose Kuruvilla, LCSW 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073 |
Lindsay T. Janowski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357 Fax: 708-681-2285 | |
Lisa K Hendrickson, BA, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Ms. Pamela M Berkowitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Gloria Ibarra, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Mr. Donald Eugene Pinkston Jr., LCSW, CADC, QHEIC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Sarah Grebasch, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Melrose Park, IL 60160 Phone: 708-406-3040 | |
Miss Christine Catherine Szewczyk, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 |