Mary Fisk, | |
11231 Distinctive Dr, Orland Park, IL 60467-9458 | |
(800) 461-9533 | |
(708) 478-1302 |
Full Name | Mary Fisk |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11231 Distinctive Dr, Orland 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 |
---|---|---|---|
1578812202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180007068 (Illinois) | 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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Mary Fisk, Po Box 379, Orland Park, IL 60462-0379 Ph: (708) 460-9833 | Mary Fisk, 11231 Distinctive Dr, Orland Park, IL 60467-9458 Ph: (800) 461-9533 |
Jessica Schroeder, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13500 Circle Dr Ste 203, Orland Park, IL 60462 Phone: 708-973-6705 | |
Amanda M Straka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9641 W 1 53rd St. Suite 48, Orland Park, IL 60462 Phone: 708-986-0712 | |
Mr. Milford Wilson Jr., M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 18305 Distinctive Dr, Orland Park, IL 60467 Phone: 708-478-7080 Fax: 708-478-7086 | |
Mrs. Janet Lynn Wichmann, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9631 W 153rd Street, Suite 37, Orland Park, IL 60462 Phone: 708-745-1679 | |
Mrs. Margaret Donna Dewilkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8302 Bob-0-link Road, Orland Park, IL 60462 Phone: 708-675-3448 Fax: 708-675-3448 | |
Mrs. Vivienne A Oskvarek, MA LCPC CADC MISA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 La Reina Ct, Orland Park, IL 60462 Phone: 708-357-7224 | |
Michael Martino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10763 163rd Pl, Orland Park, IL 60467 Phone: 708-821-8955 |