Christopher Bryan Holloway, | |
3825 Isabel St, Skokie, IL 60076-3312 | |
(224) 420-2704 | |
Not Available |
Full Name | Christopher Bryan Holloway |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 3825 Isabel St, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750070835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180015143 (Illinois) | Secondary |
101Y00000X | Counselor | 180015143 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Christopher Bryan Holloway, 3825 Isabel St, Skokie, IL 60076-3312 Ph: (224) 420-2704 | Christopher Bryan Holloway, 3825 Isabel St, Skokie, IL 60076-3312 Ph: (224) 420-2704 |
Robert Chester Haggard Iii, BA, CRSS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8324 Skokie Blvd, Skokie, IL 60077 Phone: 847-933-0051 | |
Jasmine Christine Martinez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Fl 7, Skokie, IL 60076 Phone: 847-952-7492 | |
Sonica Yin Li, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Rd Ste 37, Skokie, IL 60077 Phone: 650-889-8350 | |
Joseph Cunnane, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Rd Ste 37, Skokie, IL 60077 Phone: 847-529-8300 | |
Ms. Susan L Mason, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Rd Ste 3, Skokie, IL 60077 Phone: 847-604-0476 Fax: 847-853-1665 | |
Amanda Lee Bruscino, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9239 Gross Point Rd, Suite 300, Skokie, IL 60077 Phone: 847-676-4447 Fax: 847-676-4450 | |
Jonathan Tlusty, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9239 Gross Point Rd, Suite 300, Skokie, IL 60077 Phone: 847-676-4447 Fax: 847-676-4450 |