Ontonio Jackson-lucas, | |
626 E Glenwood Dyer Rd, Glenwood, IL 60425-2227 | |
(708) 983-9044 | |
Not Available |
Full Name | Ontonio Jackson-lucas |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 626 E Glenwood Dyer Rd, Glenwood, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538946702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 150.111442 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ontonio Jackson-lucas, 626 E Glenwood Dyer Rd, Glenwood, IL 60425-2227 Ph: (708) 983-9044 | Ontonio Jackson-lucas, 626 E Glenwood Dyer Rd, Glenwood, IL 60425-2227 Ph: (708) 983-9044 |
Monique Shiquita Askew, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18300 S Halsted St, Glenwood, IL 60425 Phone: 901-949-5652 | |
Ashley Kendrick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18300 S. Halsted Ste B, Mb #114, Glenwood, IL 60425 Phone: 708-998-6935 | |
Diane Scruggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 S Dante Ave, Glenwood, IL 60425 Phone: 708-539-6484 |