| Catholic Charities Of The Archdiocese Of Chicago | |
|
730 N Wabash Ave Courtyard Building Chicago IL 60611-2514 | |
| (312) 573-8005 | |
| (312) 573-7719 |
| Full Name | Catholic Charities Of The Archdiocese Of Chicago |
|---|---|
| Speciality | Counselor |
| Location | 730 N Wabash Ave, Chicago, Illinois |
| Authorized Official Name and Position | Monsignor Michael M Boland (ADMINISTRATOR, PRESIDENT AND CEO) |
| Authorized Official Contact | 3126557700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Chicago 730 N Wabash Ave Courtyard Building Chicago IL 60611-2514 Ph: (312) 573-8005 | Catholic Charities Of The Archdiocese Of Chicago 730 N Wabash Ave Courtyard Building Chicago IL 60611-2514 Ph: (312) 573-8005 |
| NPI Number | 1669583001 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 3678668795 |
|---|---|
| Medicare Enrollment ID | O20140918002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669583001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Juanita Uribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972979466 PECOS PAC ID: 4688973027 Enrollment ID: I20160505002208 |
| Provider Name | Veronica Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902278559 PECOS PAC ID: 6406145481 Enrollment ID: I20160513001554 |
| Provider Name | Deborah Major |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477902872 PECOS PAC ID: 6901180918 Enrollment ID: I20170310000324 |
| Provider Name | Cynthia Waderlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831499797 PECOS PAC ID: 7517241557 Enrollment ID: I20170310001866 |
| Provider Name | Sharon Bibro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821441361 PECOS PAC ID: 3173809100 Enrollment ID: I20170405002728 |
| Provider Name | Julie Y Palumbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396072377 PECOS PAC ID: 7012285695 Enrollment ID: I20170623000093 |
| Provider Name | Valorie James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568834356 PECOS PAC ID: 1951673680 Enrollment ID: I20190327001726 |
| Provider Name | Laura C Caballero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104475052 PECOS PAC ID: 9931599602 Enrollment ID: I20211213000668 |
| Provider Name | Michel Lopez Tinoco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477013654 PECOS PAC ID: 7618354762 Enrollment ID: I20220511002566 |
| Provider Name | Anne R Bardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467079848 PECOS PAC ID: 3072990134 Enrollment ID: I20220511002683 |
| Provider Name | Daisy Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356869770 PECOS PAC ID: 5698133163 Enrollment ID: I20230615002800 |
| Provider Name | Shanna S Arceo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225686728 PECOS PAC ID: 9537520135 Enrollment ID: I20230728003155 |
| Provider Name | Emily R Tegenkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164854790 PECOS PAC ID: 9830543818 Enrollment ID: I20230925002357 |
| Provider Name | Hector Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639595507 PECOS PAC ID: 7517316235 Enrollment ID: I20231206003923 |
| Provider Name | Pamela F Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568231314 PECOS PAC ID: 2062631369 Enrollment ID: I20240108000715 |
| Provider Name | Meghan Anne Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043767890 PECOS PAC ID: 9739531898 Enrollment ID: I20240115000940 |
| Provider Name | Ellen Tannenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184040032 PECOS PAC ID: 5294188363 Enrollment ID: I20240125002322 |
| Provider Name | Danielle Renyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386209211 PECOS PAC ID: 9537512926 Enrollment ID: I20240201002897 |
| Provider Name | Laraine Ruth Bodnar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699128231 PECOS PAC ID: 3577909167 Enrollment ID: I20240305004379 |
| Provider Name | Graciela G Mauro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114292018 PECOS PAC ID: 9739526963 Enrollment ID: I20240325000959 |
| Provider Name | Jennifer Fay Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538521992 PECOS PAC ID: 8921447194 Enrollment ID: I20240419003440 |
| Provider Name | Andrea K. Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881916955 PECOS PAC ID: 3678015666 Enrollment ID: I20240605002980 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |