Theresa Hefner, LCSW | |
5151 Mochel Dr Ste 304, Downers Grove, IL 60515-5078 | |
(630) 343-9396 | |
Not Available |
Full Name | Theresa Hefner |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5151 Mochel Dr Ste 304, Downers Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528706090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149024229 (Illinois) | Primary |
Entity Name | Emh Dupage Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164179529 PECOS PAC ID: 0941687487 Enrollment ID: O20220523000388 |
Mailing Address | Practice Location Address |
---|---|
Theresa Hefner, LCSW 5151 Mochel Dr Ste 304, Downers Grove, IL 60515-5078 Ph: () - | Theresa Hefner, LCSW 5151 Mochel Dr Ste 304, Downers Grove, IL 60515-5078 Ph: (630) 343-9396 |
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Leslie A Kula-leitner, MSW, LCSW, ACM-SW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 Phone: 630-206-0272 |