Byeol Shim, | |
303 W Lake St Ste 301, Addison, IL 60101-2565 | |
(331) 221-1650 | |
(331) 221-2710 |
Full Name | Byeol Shim |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 303 W Lake St Ste 301, Addison, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003503699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180015217 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Mathers Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671 |
Mailing Address | Practice Location Address |
---|---|
Byeol Shim, 303 W Lake St Ste 301, Addison, IL 60101-2565 Ph: (331) 221-1650 | Byeol Shim, 303 W Lake St Ste 301, Addison, IL 60101-2565 Ph: (331) 221-1650 |
Amy Bossman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 S Ardmore Ave, Addison, IL 60101 Phone: 630-682-7400 | |
John Schroeder, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3200 | |
Robin Zazove, Counselor Medicare: Medicare Enrolled Practice Location: 2171 W Executive Dr, Suite 450, Addison, IL 60101 Phone: 224-436-7392 | |
Trinidad Morin, LPC Counselor Medicare: Medicare Enrolled Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 773-569-2831 | |
Jaclyn Laporte, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Friendship Plz, Addison, IL 60101 Phone: 630-384-9733 | |
Kyle Alexander James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400 |