| Mrs Sandra Armendariz, | |
|
4471 Lawn Ave, Western Springs, IL 60558-1565 | |
| (708) 416-6553 | |
| (888) 428-7890 |
| Full Name | Mrs Sandra Armendariz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4471 Lawn Ave, Western Springs, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043735152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 180.016563 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Armendariz, 502 Redondo Dr Apt 412, Downers Grove, IL 60516-4609 Ph: (630) 247-6138 | Mrs Sandra Armendariz, 4471 Lawn Ave, Western Springs, IL 60558-1565 Ph: (708) 416-6553 |
Kimberly Stephens, B.S.W., M.A.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-995-3771 Fax: 708-995-3769 | |
Monica Williams, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 55th St Ste 202, Western Springs, IL 60558 Phone: 312-809-0523 | |
Ashley Bey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-745-5277 | |
Gregory Aguilar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-354-0826 | |
Jarethia Falkner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-784-9451 | |
Cynthia Carver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-745-5277 |