Marisol Bucio, MA, NCC, LPC | |
6819 167th St, Tinley Park, IL 60477-2501 | |
(708) 633-8000 | |
Not Available |
Full Name | Marisol Bucio |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 6819 167th St, Tinley 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 |
---|---|---|---|
1265920946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 178013605 (Illinois) | Primary |
Entity Name | Esperanza Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124187125 PECOS PAC ID: 2961453105 Enrollment ID: O20050204000750 |
Mailing Address | Practice Location Address |
---|---|
Marisol Bucio, MA, NCC, LPC 4107 W 127th St Apt 7, Alsip, IL 60803-1962 Ph: (773) 226-1860 | Marisol Bucio, MA, NCC, LPC 6819 167th St, Tinley Park, IL 60477-2501 Ph: (708) 633-8000 |
Kimberly Pinkston, LCPC, CADC, BC-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8041 186th St Ste B, Tinley Park, IL 60487 Phone: 815-310-1582 | |
Mrs. Lynn Wachtel Shapiro, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17732 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-342-1773 Fax: 708-342-1780 | |
Dorlisa Bethany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17746 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-444-1012 | |
Diane Wendt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 W 185th St., Suite 17, Tinley Park, IL 60477 Phone: 708-560-3801 | |
Mrs. Kristen Marie Scott, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17226 Harlem Ave, Tinley Park, IL 60477 Phone: 773-350-6289 Fax: 708-810-6789 | |
Reem Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16335 Harlem Ave, Suite 424, Tinley Park, IL 60477 Phone: 708-310-5115 Fax: 708-294-3993 | |
Danielle Lyon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 West 180th Court, Tinley Park, IL 60477 Phone: 708-256-6285 |