Ms Kenita J Perry-bell, LCSW | |
2000 W Roosevelt Rd, Broadview, IL 60155-3910 | |
(630) 474-5279 | |
(630) 785-3064 |
Full Name | Ms Kenita J Perry-bell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2000 W Roosevelt Rd, Broadview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780921494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149015679 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Ms Kenita J Perry-bell, LCSW Po Box 5885, Villa Park, IL 60181-5310 Ph: (630) 474-5279 | Ms Kenita J Perry-bell, LCSW 2000 W Roosevelt Rd, Broadview, IL 60155-3910 Ph: (630) 474-5279 |
Stacey Dianne Robertson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 S 19th Ave, Broadview, IL 60155 Phone: 708-752-6965 | |
Ms. Jean Mays, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-681-1289 | |
Mr. Thomas Alan Plach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-681-9496 | |
Janeth Vazquez-ortega, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2001 S 14th Ave, Broadview, IL 60155 Phone: 708-359-5384 | |
Ms. Tatyana Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W 18th St Apt Gn, Broadview, IL 60155 Phone: 773-575-0525 |