Laura Bentley, | |
610 S Maple Ave Ste 5601, Oak Park, IL 60304-1091 | |
(773) 665-8052 | |
Not Available |
Full Name | Laura Bentley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 610 S Maple Ave Ste 5601, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962068957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178011578 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.012263 (Illinois) | Primary |
Entity Name | Smart Love Parenting Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922206101 PECOS PAC ID: 8729261011 Enrollment ID: O20110323001040 |
Mailing Address | Practice Location Address |
---|---|
Laura Bentley, 6531 W Dickens Ave, 2e, Chicago, IL 60707 Ph: (630) 251-6172 | Laura Bentley, 610 S Maple Ave Ste 5601, Oak Park, IL 60304-1091 Ph: (773) 665-8052 |
Deva Suckerman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Harrison St, #ge, Oak Park, IL 60304 Phone: 312-399-7143 Fax: 312-492-9058 | |
Ms. Anna Katarina Berin, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St Ste 110, Oak Park, IL 60301 Phone: 630-428-7890 | |
Charu Saxena Chandra, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1142 Chicago Ave Ste 2e, Oak Park, IL 60302 Phone: 312-479-4779 Fax: 708-779-6131 | |
Ms. Donna English, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Madison St, Oak Park, IL 60302 Phone: 708-859-8004 | |
Taylor Mossing, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Forest Pl Apt P12, Oak Park, IL 60301 Phone: 630-835-4685 | |
Mrs. Gloria E Passalacqua, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6551 W North Ave, Oak Park, IL 60302 Phone: 847-687-4848 Fax: 847-853-0069 | |
Mrs. Sara Lisa Schmitz, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd, Suite 211, Oak Park, IL 60301 Phone: 773-909-9328 |