| Mr Ajit Anant Samudra, MS, LMFT | |
|
820 Davis St Ste 455, Evanston, IL 60201-4447 | |
| (224) 714-2412 | |
| Not Available |
| Full Name | Mr Ajit Anant Samudra |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 820 Davis St Ste 455, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689794687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (Illinois) | Secondary |
| 106H00000X | Marriage & Family Therapist | 166000472 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ajit Anant Samudra, MS, LMFT 820 Davis St Ste 455, Evanston, IL 60201-4447 Ph: (224) 714-2412 | Mr Ajit Anant Samudra, MS, LMFT 820 Davis St Ste 455, Evanston, IL 60201-4447 Ph: (224) 714-2412 |
Ms. Brittney R Bolden, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 Library Pl, Evanston, IL 60201 Phone: 847-733-4300 | |
Dr. Allen Sabey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 Library Pl, Evanston, IL 60201 Phone: 847-733-4300 | |
Laura Shamorian Gossin, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 636 Church St, Suite 601, Evanston, IL 60201 Phone: 312-344-3596 | |
Jose Luis Hernandez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 Library Pl, Evanston, IL 60201 Phone: 847-733-4300 | |
Ms. Ellen M Lonnquist, M.S., L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1740 Ridge Ave, Suite 201, Evanston, IL 60201 Phone: 847-475-7003 Fax: 847-475-7333 | |
Kathleen Gettelfinger, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 Library Pl, Evanston, IL 60201 Phone: 847-733-4300 | |
Ms. Jayne Diana Kinsman, MSMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 Library Pl, Evanston, IL 60201 Phone: 847-733-4300 Fax: 847-733-0390 |