Susan Sharp Cornelius, LCSW | |
1 E Superior St, Suite 202, Chicago, IL 60611-2507 | |
(773) 769-2740 | |
Not Available |
Full Name | Susan Sharp Cornelius |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 42 Years |
Location | 1 E Superior St, Chicago, 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 |
---|---|---|---|
1801966700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heritage Professional Associates Ltd | 6002707262 | 15 |
Entity Name | Heritage Professional Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033244173 PECOS PAC ID: 6002707262 Enrollment ID: O20040324001488 |
Mailing Address | Practice Location Address |
---|---|
Susan Sharp Cornelius, LCSW 1 East Superior, Suite 202, Chicago, IL 60611 Ph: (773) 769-2740 | Susan Sharp Cornelius, LCSW 1 E Superior St, Suite 202, Chicago, IL 60611-2507 Ph: (773) 769-2740 |
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