Nathaly Bassam Shammo, - Counselor in Evanston, IL

Nathaly Bassam Shammo, is a Counselor - Mental Health based in Evanston, Illinois. Nathaly Bassam Shammo is licensed to practice in * (Not Available) (license number ) and her current practice location is 2100 Ridge Ave, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 666-2977.

NPI number for Nathaly Bassam Shammo is 1508498304 and her current mailing address is 2100 Ridge Ave, Evanston, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508498304.

Contact Information

Nathaly Bassam Shammo,
2100 Ridge Ave,
Evanston, IL 60201-2716
(847) 666-2977
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNathaly Bassam Shammo
GenderFemale
SpecialityCounselor - Mental Health
Location2100 Ridge Ave, Evanston, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508498304
  • Provider Enumeration Date: 02/10/2020
  • Last Update Date: 02/10/2020

Medical Identifiers

Medical identifiers for Nathaly Bassam Shammo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508498304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathaly Bassam Shammo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nathaly Bassam Shammo,
2100 Ridge Ave,
Evanston, IL 60201-2716

Ph: () -
Nathaly Bassam Shammo,
2100 Ridge Ave,
Evanston, IL 60201-2716

Ph: (847) 666-2977

Reviews and Comments


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