Richard E Gauthier, LCSW | |
666 Dundee Rd Ste 1501, Northbrook, IL 60062-2737 | |
(847) 359-6802 | |
Not Available |
Full Name | Richard E Gauthier |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 666 Dundee Rd Ste 1501, Northbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053083899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.026110 (Illinois) | Primary |
104100000X | Social Worker | 150.105130 (Illinois) | Secondary |
Entity Name | Counseling Center Of Grayslake Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194267385 PECOS PAC ID: 7214214378 Enrollment ID: O20170427002620 |
Mailing Address | Practice Location Address |
---|---|
Richard E Gauthier, LCSW 666 Dundee Rd Ste 1501, Northbrook, IL 60062-2737 Ph: (847) 359-6802 | Richard E Gauthier, LCSW 666 Dundee Rd Ste 1501, Northbrook, IL 60062-2737 Ph: (847) 359-6802 |
Edie Sue Sutker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 255 Revere Dr, Northbrook, IL 60062 Phone: 847-412-4350 | |
Abby Merel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 604 Academy Dr, Northbrook, IL 60062 Phone: 847-549-1189 | |
Emily E Iglar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Revere Dr Ste 100, Northbrook, IL 60062 Phone: 224-306-1879 Fax: 224-306-1878 | |
Matthew Peter Cavanaugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 899 Skokie Blvd Ste 408, Northbrook, IL 60062 Phone: 847-559-3240 | |
Tara Seiden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3665 Woodhead Dr, Northbrook, IL 60062 Phone: 312-481-8181 | |
Marie Kurnick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Revere Dr, Northbrook, IL 60062 Phone: 847-291-6805 |