Ms Larcetta Linear, | |
20 Dogwood St, Park Forest, IL 60466-1821 | |
(708) 747-2507 | |
Not Available |
Full Name | Ms Larcetta Linear |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 20 Dogwood St, Park Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659959559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.011430 (Illinois) | Primary |
Entity Name | Brightside Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
Mailing Address | Practice Location Address |
---|---|
Ms Larcetta Linear, 20 Dogwood St, Park Forest, IL 60466-1821 Ph: (708) 747-2507 | Ms Larcetta Linear, 20 Dogwood St, Park Forest, IL 60466-1821 Ph: (708) 747-2507 |
Kenyetta N. Broughton-floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Lester Rd, Park Forest, IL 60466 Phone: 312-238-9128 | |
Timothy Treadwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Main St, Park Forest, IL 60466 Phone: 312-870-0828 | |
Ruth A Bartman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 W Rocket Cir, Park Forest, IL 60466 Phone: 708-926-4128 | |
Carina Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl Apt 405, Park Forest, IL 60466 Phone: 708-910-8380 | |
Kimberly Sheena Williams, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466 Phone: 708-439-5181 | |
Tenisha Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Westwood Dr, Park Forest, IL 60466 Phone: 708-444-1012 | |
Anita Marie Brown, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 346 Forest Blvd, Park Forest, IL 60466 Phone: 708-785-4879 |