Laura Van Dame, LPC | |
302 Newport Ln Apt B1, Bartlett, IL 60103-7945 | |
(630) 253-9549 | |
Not Available |
Full Name | Laura Van Dame |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 302 Newport Ln Apt B1, Bartlett, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467156687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.015059 (Illinois) | Primary |
Entity Name | Rockford Psychiatric Medical Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777 |
Mailing Address | Practice Location Address |
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Laura Van Dame, LPC 302 Newport Ln Apt B1, Bartlett, IL 60103-7945 Ph: (630) 253-9549 | Laura Van Dame, LPC 302 Newport Ln Apt B1, Bartlett, IL 60103-7945 Ph: (630) 253-9549 |
Tracy Lyn Hatzis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103 Phone: 630-864-7267 | |
Mr. John Rohleder, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 S Hickory Ave, Bartlett, IL 60103 Phone: 630-222-4780 | |
Sujai Chang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103 Phone: 630-864-7267 | |
Mrs. Reshma Joshi Lagomarcino, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103 Phone: 630-864-7267 Fax: 630-596-0743 | |
Kimberly Ann Sutherland, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 W Bartlett Ave, Suite 2c, Bartlett, IL 60103 Phone: 630-837-5303 Fax: 630-837-5305 | |
Mrs. Delores J. Walker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Driftwood Ln, Bartlett, IL 60103 Phone: 630-289-6775 Fax: 630-504-1504 | |
Karen Low, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Il Route 59, Bartlett, IL 60103 Phone: 630-483-5799 Fax: 630-483-5789 |