Amy Louise Brooke, LCPC | |
925 E Shelbourne Dr, Normal, IL 61761-4923 | |
(309) 826-8140 | |
Not Available |
Full Name | Amy Louise Brooke |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 925 E Shelbourne Dr, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578605317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.006163 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Amy Louise Brooke, LCPC 925 E Shelbourne Dr, Normal, IL 61761-4923 Ph: (309) 826-8140 | Amy Louise Brooke, LCPC 925 E Shelbourne Dr, Normal, IL 61761-4923 Ph: (309) 826-8140 |
Carrie P Bussmann, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave, Ste 112, Normal, IL 61761 Phone: 309-585-0241 | |
Christopher Cashen, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Ayrielle Ehlers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr, Normal, IL 61761 Phone: 309-822-2725 | |
Gregory Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Northfield Dr Apt J3, Normal, IL 61761 Phone: 309-660-7635 | |
Alondra Eradnsa Faudoa, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 300, Normal, IL 61761 Phone: 309-212-3606 | |
Theresa Vaccariello Lawrence, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 | |
Alya Abbed, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 114a, Normal, IL 61761 Phone: 309-807-8669 |