Mr Mark Anthony Maciuszek, MA LCPC | |
7424 Archer Rd, Summit, IL 60501 | |
(708) 458-8228 | |
(708) 458-9177 |
Full Name | Mr Mark Anthony Maciuszek |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7424 Archer Rd, Summit, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508931163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
Entity Name | County Of Dupage Department Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134110786 PECOS PAC ID: 4981695103 Enrollment ID: O20040518001117 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Anthony Maciuszek, MA LCPC 1437 Morgan Avenue, Lagrange Park, IL 60526 Ph: (708) 354-2833 | Mr Mark Anthony Maciuszek, MA LCPC 7424 Archer Rd, Summit, IL 60501 Ph: (708) 458-8228 |
Ms. Carolyn M Para, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Avenue, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
Amy Mae Yaro, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7424 Archer Ave, Summit, IL 60501 Phone: 708-458-8228 | |
James E Delgenio, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
Anthony Rio, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-995-3785 Fax: 708-458-9177 | |
Gina Aalders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-995-3724 | |
Mr. Mike Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-745-5277 Fax: 708-458-9177 |