Ana Carolina Richter Da Fonseca Balthazar, is a
Marriage & Family Therapist based in Glencoe, Illinois. Ana Carolina Richter Da Fonseca Balthazar is licensed to practice in * (Not Available) (license number ) and her current practice location is
675 Village Ct, Glencoe, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 835-5111.
NPI number for Ana Carolina Richter Da Fonseca Balthazar is 1154158855 and her current mailing address is 860 Hinman Ave Apt 616, Evanston, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154158855.
Healthcare Provider's Profile
Full Name | Ana Carolina Richter Da Fonseca Balthazar |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 675 Village Ct, Glencoe, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154158855
- Provider Enumeration Date: 09/17/2024
- Last Update Date: 09/17/2024
Medical Identifiers
Medical identifiers for Ana Carolina Richter Da Fonseca Balthazar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154158855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ana Carolina Richter Da Fonseca Balthazar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ana Carolina Richter Da Fonseca Balthazar, 860 Hinman Ave Apt 616, Evanston, IL 60202-2341 Ph: (650) 575-0361 | Ana Carolina Richter Da Fonseca Balthazar, 675 Village Ct, Glencoe, IL 60022-1609 Ph: (847) 835-5111 |
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