| April Rose Difatta, LCPILL | |
|
900 Technology Way Ste 320, Libertyville, IL 60048-5364 | |
| (847) 680-2715 | |
| (847) 680-3832 |
| Full Name | April Rose Difatta |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 900 Technology Way Ste 320, Libertyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639765357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178016585 (Illinois) | Primary |
| Entity Name | Grace Integrated Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689026148 PECOS PAC ID: 7911272901 Enrollment ID: O20170929003475 |
| Mailing Address | Practice Location Address |
|---|---|
| April Rose Difatta, LCPILL 900 Technology Way Ste 320, Libertyville, IL 60048-5364 Ph: (847) 680-2715 | April Rose Difatta, LCPILL 900 Technology Way Ste 320, Libertyville, IL 60048-5364 Ph: (847) 680-2715 |
Mini Cheng, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1641 N Milwaukee Ave Ste 9, Libertyville, IL 60048 Phone: 773-312-3621 | |
Hazel Mae Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-748-0341 Fax: 847-748-0341 | |
Tricia Saviano, MA, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1585 N Milwaukee Ave Ste 116, Libertyville, IL 60048 Phone: 847-242-2370 Fax: 847-589-3369 | |
Mary Thorson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1117 S Milwaukee Ave Ste A12, Libertyville, IL 60048 Phone: 224-236-2616 | |
Brooke Projansky, MA, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1585 N Milwaukee Ave Ste 116, Libertyville, IL 60048 Phone: 847-242-2370 Fax: 847-589-3369 | |
Ms. Christina R Cerk, M.A, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1580 S Milwaukee Ave Ste 420, Libertyville, IL 60048 Phone: 888-726-7170 | |
Diane M Bailey Yoder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1800 Hollister Dr, Suite 201, Libertyville, IL 60048 Phone: 847-549-1189 |