Natalie Jinete, | |
1414 Main St, Melrose Park, IL 60160-3902 | |
(708) 681-0073 | |
(708) 681-3958 |
Full Name | Natalie Jinete |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1414 Main St, Melrose Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043680465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | 178.011986 (Illinois) | Secondary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
---|---|
Natalie Jinete, 1820 S 25th Ave, Broadview, IL 60155-2864 Ph: (708) 681-0073 | Natalie Jinete, 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073 |
Mr. Jason Peter Schallack, MFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Richard O Sodeinde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Joanna Giordano, MA, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Michelle Lagrimas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357 | |
Douglas William Barge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8546 | |
Ms. Agnieszka Alina Wysocka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4419 W North Ave, Melrose Park, IL 60160 Phone: 773-777-7112 Fax: 708-547-7732 |