Anthony Rio, LPC | |
7420 Archer Ave, Summit, IL 60501-1218 | |
(708) 995-3785 | |
(708) 458-9177 |
Full Name | Anthony Rio |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 7420 Archer Ave, Summit, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417274903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180007712 (Illinois) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Edgewood Clinical Services P.c. |
---|---|
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 |
---|---|
Anthony Rio, LPC 7420 Archer Ave, Summit, IL 60501-1218 Ph: (708) 995-3785 | Anthony Rio, LPC 7420 Archer Ave, Summit, IL 60501-1218 Ph: (708) 995-3785 |
Ms. Carolyn M Para, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Avenue, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
Amy Mae Yaro, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7424 Archer Ave, Summit, IL 60501 Phone: 708-458-8228 | |
James E Delgenio, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
Mr. Mark Anthony Maciuszek, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 7424 Archer Rd, Summit, IL 60501 Phone: 708-458-8228 Fax: 708-458-9177 | |
Gina Aalders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-995-3724 | |
Mr. Mike Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-745-5277 Fax: 708-458-9177 |