Michelle Rusch, LCPC | |
16221 W 159th St Ste 102, Lockport, IL 60441-7902 | |
(847) 868-3435 | |
(847) 859-5885 |
Full Name | Michelle Rusch |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 16221 W 159th St Ste 102, Lockport, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760927909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 178011536 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.012962 (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 |
---|---|
Michelle Rusch, LCPC 175 E Hawthorn Pkwy, Suite 235, Vernon Hills, IL 60061-1463 Ph: (847) 868-3435 | Michelle Rusch, LCPC 16221 W 159th St Ste 102, Lockport, IL 60441-7902 Ph: (847) 868-3435 |
Elizabeth Frances Blaha, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17758 S Mitchell Ln, Lockport, IL 60441 Phone: 708-703-0171 | |
Camelle Burlock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16221 W 159th St Ste 102, Lockport, IL 60441 Phone: 847-868-3435 Fax: 847-859-5885 | |
Megan Ray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 528 E 12th St, Lockport, IL 60441 Phone: 815-207-1871 | |
Mrs. Susan A Pierce, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Laurie Dr, Lockport, IL 60441 Phone: 815-630-0691 | |
Kathryn Burkhardt Lipkin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16626 W 159th St Ste 700, Lockport, IL 60441 Phone: 312-259-9202 | |
Pamela Zika, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16221 W 159th St Ste 102, Lockport, IL 60441 Phone: 708-906-9349 | |
Danielle O'connell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18100 W Oak Ave, Lockport, IL 60441 Phone: 815-774-0327 |