Deborah A Mach, | |
621 Rollingwood Dr, Shorewood, IL 60404-0665 | |
(708) 517-0320 | |
(815) 725-7550 |
Full Name | Deborah A Mach |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 621 Rollingwood Dr, Shorewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558978189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.015442 (Illinois) | Primary |
Entity Name | Chicago Christian Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664510 PECOS PAC ID: 1052395258 Enrollment ID: O20040615001668 |
Mailing Address | Practice Location Address |
---|---|
Deborah A Mach, 350 E Washington St, Joliet, IL 60433-1150 Ph: (815) 725-5188 | Deborah A Mach, 621 Rollingwood Dr, Shorewood, IL 60404-0665 Ph: (708) 517-0320 |
Mrs. Kristi Linke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Rollingwood Dr, Shorewood, IL 60404 Phone: 815-725-5188 Fax: 815-725-7550 | |
Kristen Mahar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Rollingwood Dr, Shorewood, IL 60404 Phone: 815-725-5188 Fax: 815-725-7550 | |
Mr. Patrick L Tinken, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Country Dr, Shorewood, IL 60404 Phone: 815-730-7571 | |
Cecelia Mary Vanover, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Shady Ln, Shorewood, IL 60431 Phone: 815-741-1487 Fax: 815-741-1487 | |
Ariana Hope Baaske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Northgate Ln, Shorewood, IL 60404 Phone: 815-302-7584 | |
Payton Juarez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St Ste 201, Shorewood, IL 60404 Phone: 630-281-2496 |