Matthew Graden, LCPC | |
1 E Merchants Dr, Suite 300, Oswego, IL 60543 | |
(888) 428-7890 | |
(877) 428-7891 |
Full Name | Matthew Graden |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1 E Merchants Dr, Oswego, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073229662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180014968 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Matthew Graden, LCPC 1 E Merchants Dr, Suite 300, Oswego, IL 60543-2013 Ph: (888) 428-7890 | Matthew Graden, LCPC 1 E Merchants Dr, Suite 300, Oswego, IL 60543 Ph: (888) 428-7890 |
Ana Drake, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 34, Oswego, IL 60543 Phone: 815-201-0731 | |
Ms. Louise Clair Sheldon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Chicago Rd, Oswego, IL 60543 Phone: 630-913-7045 | |
Danielle Faith Zimmerman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Main St Ste 2b, Oswego, IL 60543 Phone: 815-556-9144 | |
Margaret Carstensen, LCPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Main St Ste 203, Oswego, IL 60543 Phone: 630-733-9108 | |
Mrs. Jennifer Lynn Baquero, M.A., LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Main St, Oswego, IL 60543 Phone: 847-322-6382 | |
Irina N Sheppard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Main St, Oswego, IL 60543 Phone: 630-519-1010 Fax: 630-405-7209 |