Patrick Joseph Fallon, | |
2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | |
(630) 653-1717 | |
(630) 653-7926 |
Full Name | Patrick Joseph Fallon |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 2100 Manchester Rd Ste 1510, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285355040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 178.014822 (Illinois) | Primary |
Entity Name | Meier Clinics Of Illinois Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801842885 PECOS PAC ID: 5193612836 Enrollment ID: O20040228000026 |
Mailing Address | Practice Location Address |
---|---|
Patrick Joseph Fallon, 202 S Williston St, Wheaton, IL 60187-5914 Ph: (630) 903-9535 | Patrick Joseph Fallon, 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 Ph: (630) 653-1717 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 | |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 | |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 | |
Mr. Stalin George, L.P.C Counselor Medicare: Medicare Enrolled Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-8042 | |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 |