Teresa Elvira Mendoza, | |
222 E Willow Ave, Wheaton, IL 60187-5426 | |
(630) 784-4805 | |
Not Available |
Full Name | Teresa Elvira Mendoza |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 222 E Willow Ave, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265106801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
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 |
Mailing Address | Practice Location Address |
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Teresa Elvira Mendoza, 222 E Willow Ave, Wheaton, IL 60187-5426 Ph: () - | Teresa Elvira Mendoza, 222 E Willow Ave, Wheaton, IL 60187-5426 Ph: (630) 784-4805 |
Kathryn P Bach, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1608 Cavalier Ct, Wheaton, IL 60189 Phone: 630-561-6070 | |
Mark Charles Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Roosevelt Rd, Suite A2, Wheaton, IL 60187 Phone: 630-462-8810 Fax: 630-462-8820 | |
Mrs. Molly Alice Ryan Wollenweber, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-423-2350 | |
Mr. Kenton James Withrow, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 N Main St, Wheaton, IL 60187 Phone: 630-653-6400 Fax: 630-653-6490 | |
Maria Guadalupe Echeverria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 E Willow Ave, Wheaton, IL 60187 Phone: 630-784-4805 | |
Mrs. Kelly Elizabeth Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Erie St, Wheaton, IL 60187 Phone: 630-518-1545 | |
Randolph Paul Andersen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-447-8818 |