Angela Sourounis, is a medicare enrolled "Counselor - Mental Health" provider in La Grange Highlands, Illinois. Her current practice location is
5201 Willow Springs Rd, La Grange Highlands, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 715-7984.
Angela Sourounis is licensed to practice in Illinois (license number 178.011671) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316397383.
Healthcare Provider's Profile
Full Name | Angela Sourounis |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 5201 Willow Springs Rd, La Grange Highlands, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316397383
- Provider Enumeration Date: 06/20/2016
- Last Update Date: 06/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901345966
- Enrollment ID: I20240822002342
Medical Identifiers
Medical identifiers for Angela Sourounis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316397383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 178.011671 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Sourounis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Sourounis, 5201 Willow Springs Rd, La Grange Highlands, IL 60525-6537 Ph: () - | Angela Sourounis, 5201 Willow Springs Rd, La Grange Highlands, IL 60525-6537 Ph: (312) 715-7984 |
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