| Cherry Hill Center | |
|
61 S Old Rand Rd Lake Zurich IL 60047-3127 | |
| (847) 438-4222 | |
| (847) 438-0844 |
| Full Name | Cherry Hill Center |
|---|---|
| Speciality | Social Worker |
| Location | 61 S Old Rand Rd, Lake Zurich, Illinois |
| Authorized Official Name and Position | Brendan C. Bell (MEMBER) |
| Authorized Official Contact | 8474384222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Hill Center 61 S Old Rand Rd Lake Zurich IL 60047-3127 Ph: (847) 438-4222 | Cherry Hill Center 61 S Old Rand Rd Lake Zurich IL 60047-3127 Ph: (847) 438-4222 |
| NPI Number | 1225277668 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 1557523552 |
|---|---|
| Medicare Enrollment ID | O20120509000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225277668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-002887 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149-011144 (Illinois) | Primary |
| Provider Name | Clark E Barshinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528135126 PECOS PAC ID: 4486840261 Enrollment ID: I20101118000964 |
| Provider Name | Shonda L Gagliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114226826 PECOS PAC ID: 1355503319 Enrollment ID: I20120509000074 |
| Provider Name | Diane S Geiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265600449 PECOS PAC ID: 3870755762 Enrollment ID: I20120511000024 |
| Provider Name | Keith V Bjorge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700053360 PECOS PAC ID: 6800058702 Enrollment ID: I20131031001160 |
| Provider Name | Patti E Krivo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750662110 PECOS PAC ID: 7517199631 Enrollment ID: I20140403001775 |
| Provider Name | Kimberly C Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689912099 PECOS PAC ID: 6709005226 Enrollment ID: I20140916001600 |
| Provider Name | Karen L Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831547470 PECOS PAC ID: 5193017853 Enrollment ID: I20160718000319 |
| Provider Name | Jack Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750735510 PECOS PAC ID: 0244595841 Enrollment ID: I20180601000929 |
| Provider Name | Kathryn Robb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114337433 PECOS PAC ID: 9032596671 Enrollment ID: I20220519001884 |
| Provider Name | Jessica Pinder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538290366 PECOS PAC ID: 3577944511 Enrollment ID: I20220721002264 |
| Provider Name | Kristin M Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316415078 PECOS PAC ID: 5496127664 Enrollment ID: I20230216001016 |
| Provider Name | Kristine K Buelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306400981 PECOS PAC ID: 0648644369 Enrollment ID: I20230321001122 |
| Provider Name | Leslie A Scofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700328408 PECOS PAC ID: 0749646099 Enrollment ID: I20230511003360 |
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