Amanda Lukas, LCPC | |
250 S Northwest Hwy Ste 110, Park Ridge, IL 60068-4237 | |
(224) 422-2149 | |
Not Available |
Full Name | Amanda Lukas |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 250 S Northwest Hwy Ste 110, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801451547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.008571 (Illinois) | Primary |
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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Amanda Lukas, LCPC 2541 N. Lincoln Ave, #206, Chicago, IL 60614 Ph: (773) 469-6675 | Amanda Lukas, LCPC 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068-4237 Ph: (224) 422-2149 |
Nicole C Potoski, LCPC CADC CODP I Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 888-428-7890 | |
Ms. Nickoleta Merkouris, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 Fax: 224-985-2119 | |
Anita Groll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Suite 111-g, Park Ridge, IL 60068 Phone: 708-925-3540 | |
Mark Talaga, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068 Phone: 312-624-9815 | |
Alexandra Therese Raske, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Park Ridge, IL 60068 Phone: 847-299-3400 | |
Nicole Varvarezos, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 | |
Meghan Erwin, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Rene Ct, Park Ridge, IL 60068 Phone: 847-501-0886 |