Shelley M Egeland, LCPC | |
1239 Windham Pkwy, Romeoville, IL 60446-1608 | |
(815) 942-6323 | |
(815) 941-0308 |
Full Name | Shelley M Egeland |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1239 Windham Pkwy, Romeoville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679061766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 178.011262 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 178.011262 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Shelley M Egeland, LCPC Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Shelley M Egeland, LCPC 1239 Windham Pkwy, Romeoville, IL 60446-1608 Ph: (815) 942-6323 |
Ariel Weekley, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Highpoint Dr, Romeoville, IL 60446 Phone: 630-474-3900 | |
Despina Stathopoulos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Pkwy, Romeoville, IL 60446 Phone: 224-567-2445 | |
Ms. Donna Lordi, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1239 Windham Pkwy, Romeoville, IL 60446 Phone: 815-942-6323 Fax: 779-210-5541 | |
Chaniqua Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 Azalea Cir, Romeoville, IL 60446 Phone: 708-513-5695 | |
Gary Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Olde English, Romeoville, IL 60446 Phone: 630-640-4058 | |
Tamara Leigh Fitzgerald, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Romeo Rd, Romeoville, IL 60446 Phone: 815-838-2690 | |
Mrs. Valerie D. Katz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Romeo Rd, Romeoville, IL 60446 Phone: 815-838-2690 Fax: 815-838-2692 |