Mrs Edith Jones, | |
100 S Atkinson Rd Ste 202, Grayslake, IL 60030-7819 | |
(847) 309-4841 | |
Not Available |
Full Name | Mrs Edith Jones |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 100 S Atkinson Rd Ste 202, Grayslake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386917391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 20814 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 178.005655 (Illinois) | Primary |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
---|---|
Mrs Edith Jones, 13099 W Yorkshire Ln, Beach Park, IL 60083-3019 Ph: (224) 730-1966 | Mrs Edith Jones, 100 S Atkinson Rd Ste 202, Grayslake, IL 60030-7819 Ph: (847) 309-4841 |
Jacqueline Pearson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18640 W. Belvidere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-587-3100 | |
Mr. Scott A. Ewart, LCPC, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18640 Belvedere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-548-6040 | |
Lisa Raddatz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Siwiha Dr, Grayslake, IL 60030 Phone: 970-571-1952 | |
Julie Anita Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Washington St Ste 101, Grayslake, IL 60030 Phone: 847-305-4954 | |
Mr. Robert Flynn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Commerce Dr Ste C, Grayslake, IL 60030 Phone: 847-293-1698 | |
Rebecca Jo Wiegman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Washington St Ste 101, Grayslake, IL 60030 Phone: 847-438-4222 | |
Emily Ciesil, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 853, Grayslake, IL 60030 Phone: 224-844-3881 |