Ms Tiffany J Michalak, LCPC | |
180 W Park Ave Ste 150, Elmhurst, IL 60126-3348 | |
(888) 428-7890 | |
(877) 428-7891 |
Full Name | Ms Tiffany J Michalak |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 180 W Park Ave Ste 150, Elmhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215534912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180015884 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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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 |
---|---|
Ms Tiffany J Michalak, LCPC 3027 English Rows Ave Ste 207, Naperville, IL 60564-5107 Ph: (888) 428-7890 | Ms Tiffany J Michalak, LCPC 180 W Park Ave Ste 150, Elmhurst, IL 60126-3348 Ph: (888) 428-7890 |
Odeta Espinoza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W Butterfield Rd Ste Llb, Elmhurst, IL 60126 Phone: 630-474-8919 | |
Christian James Schuneman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 W Vallette St, Elmhurst, IL 60126 Phone: 844-984-7252 | |
Martha Lynn Trujillo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 172 E Schiller St Fl 1, Elmhurst, IL 60126 Phone: 331-221-9258 Fax: 331-221-2520 | |
Carol Ann Harman, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 N York St, Elmhurst, IL 60126 Phone: 630-941-4577 | |
Jamie Rosser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Vallette St, Elmhurst, IL 60126 Phone: 844-984-7252 | |
Olivia Houlihan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 N York St Ste 2, Elmhurst, IL 60126 Phone: 630-384-9560 | |
Jennifer Ann Debosschere, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 579 W North Ave, Elmhurst, IL 60126 Phone: 630-384-9499 Fax: 630-324-4606 |