Mr Paul Martin, LCPC | |
1414 Main St, Melrose Park, IL 60160 | |
(708) 786-8527 | |
Not Available |
Full Name | Mr Paul Martin |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1414 Main St, Melrose Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700156171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Fareha N. Malik, M.d. Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528195013 PECOS PAC ID: 5193863587 Enrollment ID: O20091104000556 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul Martin, LCPC 3701 Doty Rd, Woodstock, IL 60098-7509 Ph: (815) 338-6600 | Mr Paul Martin, LCPC 1414 Main St, Melrose Park, IL 60160 Ph: (708) 786-8527 |
Mr. Jason Peter Schallack, MFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Richard O Sodeinde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Joanna Giordano, MA, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Michelle Lagrimas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357 | |
Douglas William Barge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8546 | |
Natalie Jinete, Counselor Medicare: Medicare Enrolled Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Ms. Agnieszka Alina Wysocka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4419 W North Ave, Melrose Park, IL 60160 Phone: 773-777-7112 Fax: 708-547-7732 |