Michael N Wilson, | |
1340 S Damen Ave, Chicago, IL 60608-1169 | |
(312) 738-5926 | |
(312) 666-6978 |
Full Name | Michael N Wilson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1340 S Damen Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003143967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.006114 (Illinois) | Primary |
Entity Name | Midwest Family And Community Resources Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770818064 PECOS PAC ID: 0345381018 Enrollment ID: O20100104000544 |
Mailing Address | Practice Location Address |
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Michael N Wilson, 1340 S Damen Ave, Chicago, IL 60608-1169 Ph: (312) 738-5926 | Michael N Wilson, 1340 S Damen Ave, Chicago, IL 60608-1169 Ph: (312) 738-5926 |
Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656 | |
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794 | |
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457 | |
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Medicare Enrolled Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025 | |
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947 | |
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469 |