Brandi M Lander, LCSW | |
1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | |
(815) 519-1074 | |
(815) 977-5929 |
Full Name | Brandi M Lander |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1107 N. Blackhawk Blvd, Rockton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245301472 | NPI | - | NPPES |
IL 5794 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149010571 (Illinois) | Primary |
Entity Name | Forefront-khatkhate Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164076683 PECOS PAC ID: 4082944335 Enrollment ID: O20190930000792 |
Mailing Address | Practice Location Address |
---|---|
Brandi M Lander, LCSW 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 Ph: (815) 519-1074 | Brandi M Lander, LCSW 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 Ph: (815) 519-1074 |
Kathleen Beth Mcguire, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1116 Cannell Ct, Rockton, IL 61072 Phone: 815-509-7424 | |
Paul Douglas Fairbanks, NCC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1047 Cannell Ct, Rockton, IL 61072 Phone: 815-566-0466 | |
Joshua Vos, Counselor Medicare: Medicare Enrolled Practice Location: 1047 Cannell Ct, Rockton, IL 61072 Phone: 815-957-0115 |