Dipa Patel, | |
1786 Moon Lake Blvd Ste 208, Hoffman Estates, IL 60169-1067 | |
(847) 755-8536 | |
Not Available |
Full Name | Dipa Patel |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1786 Moon Lake Blvd Ste 208, Hoffman Estates, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467918037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 178.012809 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180013466 (Illinois) | Primary |
Entity Name | Alexian Brothers Behavioral Health Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801318928 PECOS PAC ID: 9537062138 Enrollment ID: O20040908000182 |
Mailing Address | Practice Location Address |
---|---|
Dipa Patel, 1786 Moon Lake Blvd Ste 208, Hoffman Estates, IL 60169-1067 Ph: (847) 755-8536 | Dipa Patel, 1786 Moon Lake Blvd Ste 208, Hoffman Estates, IL 60169-1067 Ph: (847) 755-8536 |
Theresa B Mikosz, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169 Phone: 847-755-8090 Fax: 847-843-7393 | |
Sevil Arin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Moon Lake Blvd, Hoffman Estates, IL 60169 Phone: 847-755-8558 | |
Ms. Talvir Shahi, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3150 W Higgins Rd, Hoffman Estates, IL 60169 Phone: 847-885-8480 | |
Mrs. Melissa Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1776 Moon Lake Blvd, Hoffman Estates, IL 60169 Phone: 847-882-4181 Fax: 847-882-4299 | |
Chelsea Deball, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 Phone: 224-698-9792 | |
Ms. Marguerite Martino, L.C.P.C., A.T.R. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169 Phone: 847-755-8090 Fax: 847-843-7393 | |
Monica Van Duyne, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 W Higgins Rd Ste 505, Hoffman Estates, IL 60169 Phone: 224-236-2268 |