Ms Shannon Nicole Maximov, LCSW | |
900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680 | |
(312) 695-7542 | |
(312) 694-2535 |
Full Name | Ms Shannon Nicole Maximov |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 900 N Westmoreland Rd Ste 114, Lake Forest, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245378835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023293 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Grow Healthcare Group Pa |
---|---|
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 Shannon Nicole Maximov, LCSW 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680 Ph: (312) 695-7542 | Ms Shannon Nicole Maximov, LCSW 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680 Ph: (312) 695-7542 |
Alice K Virgil, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 N Western Ave, Suite 1a, Lake Forest, IL 60045 Phone: 773-919-9170 Fax: 773-919-9170 | |
Esther Harris, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 Phone: 847-535-6489 Fax: 847-535-7655 | |
Supriya Mohan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045 Phone: 847-535-8060 Fax: 847-535-8070 | |
Jianna Dominique Santello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 Pine Oaks Cir, Lake Forest, IL 60045 Phone: 847-767-5083 | |
Brooke M Jacobs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7058 | |
Karen Spinelli-falberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd Ste 203, Lake Forest, IL 60045 Phone: 847-420-5088 Fax: 847-235-2138 |