Dawn Vance, MA | |
5320 159th St Ste 100, Oak Forest, IL 60452-3329 | |
(708) 381-5009 | |
(708) 381-5026 |
Full Name | Dawn Vance |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5320 159th St Ste 100, Oak Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013238005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-002571 (Illinois) | Primary |
Entity Name | Thriveworks Clinical - Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
Mailing Address | Practice Location Address |
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Dawn Vance, MA Po Box 764, Manteno, IL 60950-0764 Ph: (708) 381-5009 | Dawn Vance, MA 5320 159th St Ste 100, Oak Forest, IL 60452-3329 Ph: (708) 381-5009 |
Ms. Maura L Maloney, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Ste C, Oak Forest, IL 60452 Phone: 630-724-0246 | |
Jennifer Alice Boender, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15601 Cicero Ave, Suite 103, Oak Forest, IL 60452 Phone: 708-687-3479 | |
Sara Evin Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Bldg C, Oak Forest, IL 60452 Phone: 708-545-7320 | |
Barbara L Grevengoed, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 W 159th Street, Oak Forest, IL 60452 Phone: 708-535-7320 Fax: 708-535-7571 | |
Mr. Timothy Michael Jenkins, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5320 159th St Ste 100, Oak Forest, IL 60452 Phone: 708-275-0934 Fax: 708-827-0485 | |
Mrs. Kimberly Joy De Jong, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St Bldg C, The Genesis Therapy Center, Oak Forest, IL 60452 Phone: 708-535-7320 |