Mr Patrick Thomas Noonan, | |
5342 W Elm St, Mchenry, IL 60050-4029 | |
(847) 931-2340 | |
Not Available |
Full Name | Mr Patrick Thomas Noonan |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5342 W Elm St, Mchenry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205352192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Deer Oaks Mid West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
Mailing Address | Practice Location Address |
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Mr Patrick Thomas Noonan, 624 Carroll Sq Apt 1, Elk Grove Village, IL 60007-1523 Ph: (630) 518-0659 | Mr Patrick Thomas Noonan, 5342 W Elm St, Mchenry, IL 60050-4029 Ph: (847) 931-2340 |
Angelica Newton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Veterans Pkwy, Mchenry, IL 60050 Phone: 815-344-1230 | |
Calysta Will, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5404 W Elm St Ste H, Mchenry, IL 60050 Phone: 815-331-8768 | |
Jennifer Thelen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050 Phone: 847-951-7180 | |
Jana Parejko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Veterans Parkway, Mchenry, IL 60050 Phone: 815-385-6400 | |
Lee Gregory Mohr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5342 W Elm St, Mchenry, IL 60050 Phone: 847-931-2340 | |
Ms. Jane E. Althoff, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 814 N Mill St, Unit 5, Mchenry, IL 60050 Phone: 815-385-6004 Fax: 815-385-6062 | |
Kelly Krepel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5342 W Elm St, Mchenry, IL 60050 Phone: 847-931-2340 |