Grazyna Gabriela Petersen, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Lisle, Illinois. Her current practice location is
4300 Commerce Ct Ste 300-3, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 739-0992.
Grazyna Gabriela Petersen is licensed to practice in Illinois (license number 149.021092) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457814360.
Healthcare Provider's Profile
Full Name | Grazyna Gabriela Petersen |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4300 Commerce Ct Ste 300-3, Lisle, Illinois |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Grazyna Gabriela Petersen attended and graduated from in
NPI Data:
- NPI Number: 1457814360
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Grazyna Gabriela Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457814360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 33287 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.021092 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grazyna Gabriela Petersen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grazyna Gabriela Petersen, LCSW, CADC 4300 Commerce Ct Ste 300-3, Lisle, IL 60532-3709 Ph: (773) 739-0992 | Grazyna Gabriela Petersen, LCSW, CADC 4300 Commerce Ct Ste 300-3, Lisle, IL 60532-3709 Ph: (773) 739-0992 |
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