Magen Lutz, | |
8311 Roosevelt Rd, Forest Park, IL 60130-2529 | |
(708) 771-7000 | |
Not Available |
Full Name | Magen Lutz |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8311 Roosevelt Rd, Forest 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 |
---|---|---|---|
1134657240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
Mailing Address | Practice Location Address |
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Magen Lutz, 1321 N Raynor Ave Apt 1n, Joliet, IL 60435-4105 Ph: (815) 674-4779 | Magen Lutz, 8311 Roosevelt Rd, Forest Park, IL 60130-2529 Ph: (708) 771-7000 |
Sareena Green, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7336 Randolph St Apt 2, Forest Park, IL 60130 Phone: 708-860-0240 | |
Chantal Diprima, LCPC, ATR-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000 | |
Cassie Rose Yoder, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7227 Madison St, Forest Park, IL 60130 Phone: 308-340-6061 | |
Amanda Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-209-2291 | |
Yolanda Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000 | |
Therese Fitzpatrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7503 Madison St, Forest Park, IL 60130 Phone: 708-657-5320 |