Doreen Green, LPC | |
1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | |
(708) 647-3333 | |
(708) 647-3504 |
Full Name | Doreen Green |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1909 Cheker Sq, East Hazel Crest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649633256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 178010219 (Illinois) | Primary |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
Mailing Address | Practice Location Address |
---|---|
Doreen Green, LPC 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 Ph: (708) 647-3333 | Doreen Green, LPC 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 Ph: (708) 647-3333 |
Ms. Dana Marie Aikens, CSADC, MISAI, ATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3371 Fax: 708-647-3503 | |
Jasmine Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3333 | |
Timothy Brown, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3333 Fax: 708-647-3504 | |
Mariah Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 866-477-8632 | |
Barbara Julian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3331 | |
Victoria Moradeyo Adeleke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3333 | |
Liz Frausto, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, East Hazel Crest, IL 60429 Phone: 708-647-3343 |