Kim Shird, | |
300 Summit St, Galena, IL 61036-1638 | |
(815) 777-2836 | |
Not Available |
Full Name | Kim Shird |
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Gender | Female |
Speciality | Counselor |
Location | 300 Summit St, Galena, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205873460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Rosecrance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371 |
Mailing Address | Practice Location Address |
---|---|
Kim Shird, Po Box 813, 1255 W. Empire, Freeport, IL 61032-0813 Ph: () - | Kim Shird, 300 Summit St, Galena, IL 61036-1638 Ph: (815) 777-2836 |
Stephanie Cocagne, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 412 1/2 S Main Street, Unit 202, Galena, IL 61036 Phone: 815-281-1345 | |
Rhonda Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Tracy Goetzinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Justina Wandling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Terri Tranel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Thomas John Dennis, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 800 Spring St Ste 101, Galena, IL 61036 Phone: 773-454-9176 |