Nicole Hooten, | |
16151 Weber Rd, Crest Hill, IL 60403-0863 | |
(815) 782-8263 | |
Not Available |
Full Name | Nicole Hooten |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 16151 Weber Rd, Crest Hill, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396227443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.024723 (Illinois) | Primary |
Entity Name | Kenneth Young Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272 |
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 |
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Nicole Hooten, 933 Waterford Ct, Wilmington, IL 60481-2327 Ph: () - | Nicole Hooten, 16151 Weber Rd, Crest Hill, IL 60403-0863 Ph: (815) 782-8263 |
Ms. Mary A Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2430 Plainfield Rd Ste 2d, Crest Hill, IL 60403 Phone: 815-302-3895 | |
Duncan William Hall, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16151 Weber Rd, Suite 101, Crest Hill, IL 60403 Phone: 815-773-7827 Fax: 815-838-2656 |