Robin Zazove, | |
2171 W Executive Dr, Suite 450, Addison, IL 60101-5625 | |
(224) 436-7392 | |
Not Available |
Full Name | Robin Zazove |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2171 W Executive Dr, Addison, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154703403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Robin Zazove, 1515 W Pheasant Trail Ln, Unit 6, Arlington Heights, IL 60004-7605 Ph: (224) 436-7392 | Robin Zazove, 2171 W Executive Dr, Suite 450, Addison, IL 60101-5625 Ph: (224) 436-7392 |
Amy Bossman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 S Ardmore Ave, Addison, IL 60101 Phone: 630-682-7400 | |
Byeol Shim, Counselor Medicare: Medicare Enrolled Practice Location: 303 W Lake St Ste 301, Addison, IL 60101 Phone: 331-221-1650 Fax: 331-221-2710 | |
John Schroeder, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3200 | |
Trinidad Morin, LPC Counselor Medicare: Medicare Enrolled Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 773-569-2831 | |
Jaclyn Laporte, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Friendship Plz, Addison, IL 60101 Phone: 630-384-9733 | |
Kyle Alexander James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400 |