Roxanna Chavez, | |
5341 W Cermak Rd, Cicero, IL 60804-2817 | |
(708) 656-6430 | |
(708) 656-6591 |
Full Name | Roxanna Chavez |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5341 W Cermak Rd, Cicero, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023548955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.014354 (Illinois) | Primary |
Entity Name | Family Service And Mental Health Center Of Cicero |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831119767 PECOS PAC ID: 6800827254 Enrollment ID: O20050825000149 |
Mailing Address | Practice Location Address |
---|---|
Roxanna Chavez, 1723 S Jefferson St Apt 2r, Chicago, IL 60616-2133 Ph: (773) 354-6763 | Roxanna Chavez, 5341 W Cermak Rd, Cicero, IL 60804-2817 Ph: (708) 656-6430 |
William Aitchison, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1849 S Cicero Ave, Cicero, IL 60804 Phone: 708-656-9500 | |
Miriam Rosales, MA Counselor Medicare: Medicare Enrolled Practice Location: 5341 W Cermak Rd Ste 201, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Jennifer Marie Fontana, CADC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5635 W Roosevelt Rd, Cicero, IL 60804 Phone: 708-652-6500 | |
Veronica G Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Ms. Corina Martinez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Bharati Dev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1849 S Cicero Ave, Cicero, IL 60804 Phone: 708-656-9500 |