| Amy Schigelone Phd Lcsw Llc | |
|
1100 Lake St Suite 35 Oak Park IL 60301-1015 | |
| (708) 934-4492 | |
| Not Available |
| Full Name | Amy Schigelone Phd Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1100 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Amy Schigelone (PRESIDENT) |
| Authorized Official Contact | 7089344492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Schigelone Phd Lcsw Llc 1100 Lake St Ll35 Oak Park IL 60301-1015 Ph: (708) 934-4492 | Amy Schigelone Phd Lcsw Llc 1100 Lake St Suite 35 Oak Park IL 60301-1015 Ph: (708) 934-4492 |
| NPI Number | 1013377928 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/25/2017 |
| Medicare PECOS PAC ID | 2961708912 |
|---|---|
| Medicare Enrollment ID | O20160317000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013377928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016912 (Illinois) | Primary |
| Provider Name | Amy R Schiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811394802 PECOS PAC ID: 1850612839 Enrollment ID: I20150602002328 |
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