Tonya Vander, LSW | |
3412 Harlem Ave, Riverside, IL 60546-2365 | |
(708) 990-8221 | |
Not Available |
Full Name | Tonya Vander |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3412 Harlem Ave, Riverside, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134710825 | NPI | - | NPPES |
1275005670 | Other | IL | PSYCHEALTH SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.023013 (Illinois) | Primary |
104100000X | Social Worker | 150.103788 (Illinois) | Secondary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Tonya Vander, LSW 6301 N Talman Ave Apt 3, Chicago, IL 60659-1818 Ph: (312) 213-6244 | Tonya Vander, LSW 3412 Harlem Ave, Riverside, IL 60546-2365 Ph: (708) 990-8221 |
Reena Rosalyn Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 528 Selborne Rd, Riverside, IL 60546 Phone: 708-203-8187 | |
Ms. Jean R Clark, JEAN R CLARK Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 141 Barrypoint Rd, Riverside, IL 60546 Phone: 708-442-5728 | |
Paul Mcarthur Pedersen, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 E Burlington St, Riverside, IL 60546 Phone: 708-745-5277 | |
Kristie Shurtleff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 423 Selborne Rd, Riverside, IL 60546 Phone: 704-519-8988 |