Benjamin Nunez, | |
6918 W Windsor Ave, Berwyn, IL 60402-3334 | |
(708) 995-3821 | |
(708) 795-4834 |
Full Name | Benjamin Nunez |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 6918 W Windsor Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114469384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180014050 (Illinois) | Primary |
Entity Name | Pillars Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184640666 PECOS PAC ID: 9032367859 Enrollment ID: O20180329001612 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Nunez, 5220 East Ave, Countryside, IL 60525-3133 Ph: (708) 745-5277 | Benjamin Nunez, 6918 W Windsor Ave, Berwyn, IL 60402-3334 Ph: (708) 995-3821 |
Ms. Lizette Reyes Reveles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Christina M King, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6415 Stanley, Berwyn, IL 60402 Phone: 708-788-0511 Fax: 708-788-0831 | |
Ms. Julie Durkalec, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Mr. Philip Jean Tomas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834 | |
Hannah Doggett, MA, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Antoinette Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-995-3720 | |
Dr. Alban George Fisher, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Grove Ave Ste 2, Berwyn, IL 60402 Phone: 773-663-6597 |