Stephanie Suryk, LCPC | |
2205 State St, Pekin, IL 61554-3936 | |
(309) 648-0782 | |
Not Available |
Full Name | Stephanie Suryk |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2205 State St, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598258196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178011153 (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180011399 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Suryk, LCPC 2205 State St, Pekin, IL 61554-3936 Ph: (309) 648-0782 | Stephanie Suryk, LCPC 2205 State St, Pekin, IL 61554-3936 Ph: (309) 648-0782 |
Mrs. Renee R Lawson, RSA DSP CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-4280 | |
Stacie Billingsley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 State St, Pekin, IL 61554 Phone: 309-648-0782 | |
Mr. Robert John Mooney, LPC MA Counselor Medicare: Medicare Enrolled Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-1148 Fax: 309-347-1298 | |
Mr. Patrick Timothy Hayes, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Joan Wenzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3249 Barney Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-7302 | |
Patrick Durkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Gelana L Mccloud, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Margaret St, Pekin, IL 61554 Phone: 309-407-7771 Fax: 309-620-8623 |