Shafaq Javaid, LCPC | |
350 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6284 | |
(815) 356-5050 | |
(815) 356-5094 |
Full Name | Shafaq Javaid |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 350 E Congress Pkwy, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619308749 | NPI | - | NPPES |
J130-7808-4708 | Other | IL | DRIVER'S LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.008130 (Illinois) | Primary |
Entity Name | Pra Behavioral Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679546873 PECOS PAC ID: 3274427729 Enrollment ID: O20040227000040 |
Mailing Address | Practice Location Address |
---|---|
Shafaq Javaid, LCPC 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 Ph: (847) 240-2211 | Shafaq Javaid, LCPC 350 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6284 Ph: (815) 356-5050 |
Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517 | |
Jorge Roman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104 | |
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079 | |
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115 | |
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979 | |
Meghan Joshi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 314-308-2722 | |
Gabrielle Anne Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Coventry Ln Ste 103, Crystal Lake, IL 60014 Phone: 847-778-6992 |