Mr Stalin George, LPC | |
1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 | |
(630) 588-8042 | |
Not Available |
Full Name | Mr Stalin George |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1616 E Roosevelt 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 |
---|---|---|---|
1013343540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178007775 (Illinois) | Primary |
Entity Name | Vermeer Quist Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538606975 PECOS PAC ID: 2365725744 Enrollment ID: O20170208002926 |
Mailing Address | Practice Location Address |
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Mr Stalin George, LPC 505 N. Kenilworth Ave, Apartment 9, Glen Ellyn, IL 60137 Ph: (630) 588-8042 | Mr Stalin George, LPC 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Ph: (630) 588-8042 |
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 | |
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 |