Donald Maxon, LCPC | |
1401 Lakewood Dr Ste A, Morris, IL 60450-3352 | |
(815) 942-6323 | |
(779) 210-5541 |
Full Name | Donald Maxon |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1401 Lakewood Dr Ste A, Morris, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659318590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180001972 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Donald Maxon, LCPC Po Box 713260, Chicago, IL 60677-0264 Ph: (630) 469-9200 | Donald Maxon, LCPC 1401 Lakewood Dr Ste A, Morris, IL 60450-3352 Ph: (815) 942-6323 |
Sarah Anne Welch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1802 N Division St Ste 509, Morris, IL 60450 Phone: 815-941-3882 | |
Kayla Stamm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Union St, Morris, IL 60450 Phone: 815-941-3404 | |
Raeann Lowry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E High St, Morris, IL 60450 Phone: 815-661-6257 | |
Guadalupe Trejo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1802 N Division St, Morris, IL 60450 Phone: 815-941-3882 | |
Robin Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Union St, Morris, IL 60450 Phone: 815-941-6129 | |
Jennifer Reed, Counselor Medicare: Medicare Enrolled Practice Location: 220 W Main St, Morris, IL 60450 Phone: 312-203-8108 | |
Kathleen Sue Cherven, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 103 E Jefferson St, Morris, IL 60450 Phone: 815-735-8969 |