| Leslie Phillips, | |
|
19990 Governors Hwy, Olympia Fields, IL 60461-1021 | |
| (708) 747-7100 | |
| Not Available |
| Full Name | Leslie Phillips |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 19990 Governors Hwy, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417500182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180012135 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180012135 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Phillips, 19990 Governors Hwy, Olympia Fields, IL 60461-1021 Ph: (219) 779-4729 | Leslie Phillips, 19990 Governors Hwy, Olympia Fields, IL 60461-1021 Ph: (708) 747-7100 |
Ms. Shirley Ann Golladay, MHS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461 Phone: 708-747-9399 Fax: 708-747-1908 | |
Dr. Dena High-rogers, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 20200 Governors Drive, 3rd Floor Suite 561, Olympia Fields, IL 60461 Phone: 708-612-3682 | |
Dr. Mille Jean Martin, ED.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Corinth Road, Olympia Fields, IL 60461 Phone: 708-481-5499 Fax: 708-747-1001 | |
Victoria Mims, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461 Phone: 312-248-3481 | |
Dajonese Turner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20200 Governors Dr Fl 3, Olympia Fields, IL 60461 Phone: 773-990-0687 Fax: 773-304-1462 | |
Kassaundra Crawford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19990 Governors Hwy, Olympia Fields, IL 60461 Phone: 708-747-7168 | |
Zakette Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3615 Park Dr, Olympia Fields, IL 60461 Phone: 630-506-6321 |