Grace Mayer, | |
1820 S 25th Ave, Broadview, IL 60155-2864 | |
(708) 681-0073 | |
Not Available |
Full Name | Grace Mayer |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1820 S 25th Ave, Broadview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609320886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Grace Mayer, 1820 S 25th Ave, Broadview, IL 60155-2864 Ph: (708) 681-0073 | Grace Mayer, 1820 S 25th Ave, Broadview, IL 60155-2864 Ph: (708) 681-0073 |
Miss Jamie L Dobkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 | |
Mrs. Jackie E Skinner, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-410-0744 | |
Katherine Goelitz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-498-0200 | |
Lyndsey Tan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 630-801-5658 | |
Mr. Philip William Schneeberger, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-344-3301 Fax: 708-344-2944 | |
Nadia Gomez-moran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 | |
Ms. Genoveva Perez, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-410-0615 Fax: 708-410-0744 |