Laura Koziej, MA, LPC | |
720 Roosevelt Rd, Glen Ellyn, IL 60137-5806 | |
(163) 098-4220 | |
(630) 984-2051 |
Full Name | Laura Koziej |
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Gender | Female |
Speciality | Counselor |
Location | 720 Roosevelt Rd, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841655529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 178011595 (Illinois) | Primary |
Entity Name | One Medstar Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417571530 PECOS PAC ID: 0749607307 Enrollment ID: O20200827000644 |
Mailing Address | Practice Location Address |
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Laura Koziej, MA, LPC 4550 N Laporte Ave, Chicago, IL 60630-3916 Ph: () - | Laura Koziej, MA, LPC 720 Roosevelt Rd, Glen Ellyn, IL 60137-5806 Ph: (163) 098-4220 |
Clayton Berg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Bldg C, Glen Ellyn, IL 60137 Phone: 630-373-2529 | |
Michelle J Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Anthony St, Glen Ellyn, IL 60137 Phone: 877-506-2674 | |
Jennifer K Paterakis, M.S L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste A, Glen Ellyn, IL 60137 Phone: 630-858-1075 Fax: 630-790-9984 | |
Ms. Carole S. Logalbo, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 493 Forest Ave, Glen Ellyn, IL 60137 Phone: 630-469-1555 | |
Abia Hashmi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Ste 220, Glen Ellyn, IL 60137 Phone: 630-239-1784 Fax: 630-216-4818 | |
Diana Dimeo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Glen Ellyn, IL 60137 Phone: 708-769-1509 | |
Karine Ivy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste C, Glen Ellyn, IL 60137 Phone: 630-220-6919 |