Michal Kocum, | |
1737 S Naperville Rd, Wheaton, IL 60189-5894 | |
(331) 472-7768 | |
Not Available |
Full Name | Michal Kocum |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1737 S Naperville Rd, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831825942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180015572 (Illinois) | Primary |
Entity Name | Heritage Professional Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033244173 PECOS PAC ID: 6002707262 Enrollment ID: O20040324001488 |
Mailing Address | Practice Location Address |
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Michal Kocum, 1737 S Naperville Rd, Wheaton, IL 60189-5894 Ph: (331) 472-7768 | Michal Kocum, 1737 S Naperville Rd, Wheaton, IL 60189-5894 Ph: (331) 472-7768 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 | |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 | |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 | |
Mr. Stalin George, L.P.C Counselor Medicare: Medicare Enrolled Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-8042 | |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 |