Angela Marie Costanza, MA, LCPC | |
1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | |
(847) 524-8800 | |
(847) 524-8824 |
Full Name | Angela Marie Costanza |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1001 Rohlwing Rd, Elk Grove Village, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568710432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 180010333 (Illinois) | Primary |
Entity Name | Park Ridge Psychotherapy And Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710405006 PECOS PAC ID: 3476995580 Enrollment ID: O20240521002323 |
Mailing Address | Practice Location Address |
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Angela Marie Costanza, MA, LCPC 350 S. Northwest Hwy, Park Ridge, IL 60068 Ph: () - | Angela Marie Costanza, MA, LCPC 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 Ph: (847) 524-8800 |
Kathleen Ann Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Crystal Lynn Novak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 Fax: 847-524-8824 | |
Santa M. Houdek, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Mr. Michael Saraceno, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Angela Paras, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 Fax: 847-524-8824 | |
Irene Rojas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Melissa Ortega, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 224-285-2487 |