Gloria Bernard, LPC, ATR-BC | |
1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 | |
(847) 759-9110 | |
Not Available |
Full Name | Gloria Bernard |
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Gender | Female |
Speciality | Counselor |
Location | 1440 Renaissance Dr Ste 320, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609335918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 178.014303 (Illinois) | Primary |
Entity Name | The Juniper Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757 |
Mailing Address | Practice Location Address |
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Gloria Bernard, LPC, ATR-BC 2309 S Leavitt St, Chicago, IL 60608-4019 Ph: (312) 437-3701 | Gloria Bernard, LPC, ATR-BC 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 |
Nicole C Potoski, LCPC CADC CODP I Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 888-428-7890 | |
Ms. Nickoleta Merkouris, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 Fax: 224-985-2119 | |
Anita Groll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Suite 111-g, Park Ridge, IL 60068 Phone: 708-925-3540 | |
Mark Talaga, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068 Phone: 312-624-9815 | |
Alexandra Therese Raske, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Park Ridge, IL 60068 Phone: 847-299-3400 | |
Nicole Varvarezos, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 | |
Meghan Erwin, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Rene Ct, Park Ridge, IL 60068 Phone: 847-501-0886 |