Thomas John Dennis, LCPC | |
800 Spring St Ste 101, Galena, IL 61036-2003 | |
(773) 454-9176 | |
Not Available |
Full Name | Thomas John Dennis |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 800 Spring St Ste 101, Galena, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285800318 | NPI | - | NPPES |
180.006879 | Other | IL | CLINICAL PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.006879 (Illinois) | Primary |
Entity Name | Midwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010 |
Entity Name | Grief River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093582306 PECOS PAC ID: 6709222771 Enrollment ID: O20240313000244 |
Mailing Address | Practice Location Address |
---|---|
Thomas John Dennis, LCPC 1 Cayuga Trl, Galena, IL 61036-9430 Ph: (773) 454-9176 | Thomas John Dennis, LCPC 800 Spring St Ste 101, Galena, IL 61036-2003 Ph: (773) 454-9176 |
Stephanie Cocagne, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 412 1/2 S Main Street, Unit 202, Galena, IL 61036 Phone: 815-281-1345 | |
Rhonda Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Kim Shird, Counselor Medicare: Medicare Enrolled Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Tracy Goetzinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Justina Wandling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Terri Tranel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 |