Logan Danielle Chambers, | |
530 Maple Dr, Streamwood, IL 60107-3163 | |
(847) 274-5982 | |
Not Available |
Full Name | Logan Danielle Chambers |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 530 Maple Dr, Streamwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821632910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.015337 (Illinois) | Primary |
Entity Name | Lotus Wellness Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114450061 PECOS PAC ID: 8921375908 Enrollment ID: O20170523000465 |
Mailing Address | Practice Location Address |
---|---|
Logan Danielle Chambers, 2756 Bellwood Ave, Melrose Park, IL 60164-1507 Ph: (847) 274-5982 | Logan Danielle Chambers, 530 Maple Dr, Streamwood, IL 60107-3163 Ph: (847) 274-5982 |
Alexandria Schoneck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1324 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-244-5202 | |
Victoria Sofia Gonzalez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 | |
Kimberly C. Forgie, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 Fax: 630-736-2750 | |
Madeline A. Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 684 S Barrington Rd Ste 112, Streamwood, IL 60107 Phone: 888-870-1775 | |
Gina Guerra, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 | |
Miss Laura Gabriela Coyotl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 | |
Mr. John W Benson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 684 S Barrington Rd, Suite 112, Streamwood, IL 60107 Phone: 888-870-1770 |