| Clarity Clinic Pllc | |
|
1 E Superior St Suite 306 Chicago IL 60611-2507 | |
| (312) 754-9404 | |
| (312) 754-9402 |
| Full Name | Clarity Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 E Superior St, Chicago, Illinois |
| Authorized Official Name and Position | Pavan Yarlagaddaraghu Prasad (CEO) |
| Authorized Official Contact | 2488722400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Clinic Pllc 1 E Superior St Suite 306 Chicago IL 60611-2507 Ph: (312) 789-4532 | Clarity Clinic Pllc 1 E Superior St Suite 306 Chicago IL 60611-2507 Ph: (312) 754-9404 |
| NPI Number | 1063803856 |
|---|---|
| Provider Enumeration Date | 02/15/2015 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 7517284755 |
|---|---|
| Medicare Enrollment ID | O20150326001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063803856 | NPI | - | NPPES |
| Provider Name | Randi B Schulman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356394530 PECOS PAC ID: 2466484944 Enrollment ID: I20050906000568 |
| Provider Name | Frances A Sassetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013023746 PECOS PAC ID: 3577560267 Enrollment ID: I20061020000470 |
| Provider Name | Kalyan N Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598922957 PECOS PAC ID: 3577708973 Enrollment ID: I20140616001389 |
| Provider Name | Pavan Y Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659668440 PECOS PAC ID: 8022259324 Enrollment ID: I20140730000864 |
| Provider Name | Casey E Noreika |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003206830 PECOS PAC ID: 4385961846 Enrollment ID: I20150320000732 |
| Provider Name | Yara R Costa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689871923 PECOS PAC ID: 0749561017 Enrollment ID: I20161228000448 |
| Provider Name | Judy M Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366752081 PECOS PAC ID: 4587940838 Enrollment ID: I20170421000165 |
| Provider Name | Binal K Maharaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508110990 PECOS PAC ID: 7911278551 Enrollment ID: I20170801000941 |
| Provider Name | Sahar Eftekhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376819565 PECOS PAC ID: 4486887601 Enrollment ID: I20171012002203 |
| Provider Name | Karen B Hedrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679690606 PECOS PAC ID: 0345500351 Enrollment ID: I20180213002020 |
| Provider Name | Jonathan Peter Kolakowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710232889 PECOS PAC ID: 7911205034 Enrollment ID: I20180726002074 |
| Provider Name | Sean Harrison Saltzberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164916383 PECOS PAC ID: 6901156413 Enrollment ID: I20180904002978 |
| Provider Name | Keith William Merrifield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588974976 PECOS PAC ID: 5395739650 Enrollment ID: I20181203000100 |
| Provider Name | Raymond Justin Myles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073970547 PECOS PAC ID: 5092057695 Enrollment ID: I20190501001299 |
| Provider Name | Rafael Lopez Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083900732 PECOS PAC ID: 9436462694 Enrollment ID: I20190511000029 |
| Provider Name | Jessica Anne Masbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538403480 PECOS PAC ID: 7810223542 Enrollment ID: I20190801001928 |
| Provider Name | Mariyah Z Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285083931 PECOS PAC ID: 9234422882 Enrollment ID: I20200219002936 |
| Provider Name | Reginald Deleon Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689162901 PECOS PAC ID: 8426485004 Enrollment ID: I20200220000131 |
| Provider Name | Sudhakar Kateel Shenoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972919827 PECOS PAC ID: 2466758206 Enrollment ID: I20200220001253 |
| Provider Name | Christopher Lee Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952895104 PECOS PAC ID: 2264861087 Enrollment ID: I20200331000020 |
| Provider Name | Thomas Thurlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153573 PECOS PAC ID: 8123457959 Enrollment ID: I20200609001453 |
| Provider Name | Anish Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760831713 PECOS PAC ID: 6204122351 Enrollment ID: I20200928003191 |
| Provider Name | Marc Christian Sandrolini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861669632 PECOS PAC ID: 0446679880 Enrollment ID: I20201002002582 |
| Provider Name | Timothy Kaatman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447613724 PECOS PAC ID: 0345537122 Enrollment ID: I20201118000466 |
| Provider Name | Michael Colombatto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629441357 PECOS PAC ID: 3678984606 Enrollment ID: I20201124001379 |
| Provider Name | Michael Swiatkowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891157178 PECOS PAC ID: 1254613508 Enrollment ID: I20201203001222 |
| Provider Name | Cynthia Marie Sodini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457477556 PECOS PAC ID: 0446665236 Enrollment ID: I20210208001776 |
| Provider Name | James Delgiudice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225272438 PECOS PAC ID: 9638584295 Enrollment ID: I20210213000022 |
| Provider Name | Sean Loren Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538738067 PECOS PAC ID: 0840692117 Enrollment ID: I20210708002367 |
| Provider Name | Miriam A Mixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750055117 PECOS PAC ID: 4587061015 Enrollment ID: I20210924002319 |
| Provider Name | Kari Alysse Weiterschan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598438608 PECOS PAC ID: 6800284910 Enrollment ID: I20211022000059 |
| Provider Name | Brittany M Lafin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699163287 PECOS PAC ID: 7214320720 Enrollment ID: I20220204001752 |
| Provider Name | Samuel Adam Budyszewick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467921635 PECOS PAC ID: 4789077009 Enrollment ID: I20220209002465 |
| Provider Name | Sydney Lawings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326702309 PECOS PAC ID: 3375930662 Enrollment ID: I20220505001770 |
| Provider Name | Sarah Elizabeth Beerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366067423 PECOS PAC ID: 3173905528 Enrollment ID: I20220801002351 |
| Provider Name | Elizabeth Hand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417615428 PECOS PAC ID: 5193108470 Enrollment ID: I20220818003411 |
| Provider Name | Brittany Ann Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699363838 PECOS PAC ID: 0345624599 Enrollment ID: I20220907001935 |
| Provider Name | Jerri Anne Ganz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689392359 PECOS PAC ID: 5193101517 Enrollment ID: I20221007001043 |
| Provider Name | Stephanie Nicole Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043681976 PECOS PAC ID: 4587030325 Enrollment ID: I20221019000210 |
| Provider Name | Abbey Michelle Debaene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477272227 PECOS PAC ID: 4082080528 Enrollment ID: I20221025000422 |
| Provider Name | Nicole Christine Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811443047 PECOS PAC ID: 2567839632 Enrollment ID: I20221102000722 |
| Provider Name | Courtney Ann Leinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679201198 PECOS PAC ID: 8729456819 Enrollment ID: I20221121002569 |
| Provider Name | Joel Timothy Muller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164006904 PECOS PAC ID: 4183095805 Enrollment ID: I20230117001489 |
| Provider Name | Lauren Elisabeth Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700451382 PECOS PAC ID: 3870965627 Enrollment ID: I20230204000496 |
| Provider Name | Tiffany Zelek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447927579 PECOS PAC ID: 9436521085 Enrollment ID: I20230208002688 |
| Provider Name | Marlena Christine Gebhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093328486 PECOS PAC ID: 8628431939 Enrollment ID: I20230901001996 |
| Provider Name | Endia Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291825 PECOS PAC ID: 6608239843 Enrollment ID: I20230906000068 |
| Provider Name | Irena Markova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346938362 PECOS PAC ID: 5395199640 Enrollment ID: I20230920003911 |
| Provider Name | Candace Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619534203 PECOS PAC ID: 9638525975 Enrollment ID: I20231024000517 |
| Provider Name | Christina Steele-lietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467652511 PECOS PAC ID: 1355741133 Enrollment ID: I20231024003803 |
| Provider Name | Ravali Poreddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235790627 PECOS PAC ID: 8921333618 Enrollment ID: I20231109001191 |
| Provider Name | Brent Allen Hope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609031384 PECOS PAC ID: 4880041615 Enrollment ID: I20231115002570 |
| Provider Name | Kevin Clegg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245794676 PECOS PAC ID: 3072935840 Enrollment ID: I20231129000609 |
| Provider Name | Aimee Daramus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932307170 PECOS PAC ID: 5698123636 Enrollment ID: I20231130002924 |
| Provider Name | Richard A Crane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205013299 PECOS PAC ID: 1355660606 Enrollment ID: I20231206001052 |
| Provider Name | Elia Narvaez-mushtaq |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558085738 PECOS PAC ID: 5698125805 Enrollment ID: I20240102000151 |
| Provider Name | Phanisushma Cheturvedula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821683905 PECOS PAC ID: 0547610750 Enrollment ID: I20240102000314 |
| Provider Name | Cindy Meraz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316622012 PECOS PAC ID: 3870943988 Enrollment ID: I20240102000482 |
| Provider Name | Emily Mary Hoag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487832069 PECOS PAC ID: 8022460864 Enrollment ID: I20240117003963 |
| Provider Name | Hope Hirsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740062397 PECOS PAC ID: 4183076607 Enrollment ID: I20240122000222 |
| Provider Name | Eldina Okic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316480262 PECOS PAC ID: 4587016910 Enrollment ID: I20240122000786 |
| Provider Name | Maisha Lowery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689309577 PECOS PAC ID: 7416309778 Enrollment ID: I20240123000977 |
| Provider Name | Brittany Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821786120 PECOS PAC ID: 0345693586 Enrollment ID: I20240124002578 |
| Provider Name | Mary Leighton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043997687 PECOS PAC ID: 6103279013 Enrollment ID: I20240126003139 |
| Provider Name | Jessica Selk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639829906 PECOS PAC ID: 4789027111 Enrollment ID: I20240213001244 |
| Provider Name | Emily Maurer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235776154 PECOS PAC ID: 1759726177 Enrollment ID: I20240226001233 |
| Provider Name | Carolyn Klinkert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699009019 PECOS PAC ID: 6709221179 Enrollment ID: I20240226002925 |
| Provider Name | Shelby Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952966905 PECOS PAC ID: 5991140113 Enrollment ID: I20240228000357 |
| Provider Name | Leslie Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114520038 PECOS PAC ID: 6709221856 Enrollment ID: I20240228001504 |
| Provider Name | Emily C Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144891581 PECOS PAC ID: 8820433931 Enrollment ID: I20240228003711 |
| Provider Name | Nayeli Cruz Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184394736 PECOS PAC ID: 4486099355 Enrollment ID: I20240301000404 |
| Provider Name | Kayleen Michelle Bare |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497438626 PECOS PAC ID: 7012352842 Enrollment ID: I20240301003195 |
| Provider Name | Victoria Nieman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073071338 PECOS PAC ID: 8729423488 Enrollment ID: I20240304002959 |
| Provider Name | Elizabeth Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548675382 PECOS PAC ID: 5991140550 Enrollment ID: I20240305002848 |
| Provider Name | Carol Anne Briggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790432987 PECOS PAC ID: 6800232448 Enrollment ID: I20240306001410 |
| Provider Name | Melissa Lynne Melzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720788946 PECOS PAC ID: 3870939150 Enrollment ID: I20240308001387 |
| Provider Name | Kimberlie Kuehne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710371695 PECOS PAC ID: 2466898408 Enrollment ID: I20240312003553 |
| Provider Name | Angelina Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538822416 PECOS PAC ID: 6507202553 Enrollment ID: I20240312003779 |
| Provider Name | Courtney Daly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336789338 PECOS PAC ID: 0143666164 Enrollment ID: I20240313001794 |
| Provider Name | Haley Tarling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457138604 PECOS PAC ID: 7618313354 Enrollment ID: I20240315002376 |
| Provider Name | Keri Perillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881348746 PECOS PAC ID: 3678910346 Enrollment ID: I20240318003053 |
| Provider Name | Jessica C Baran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851911580 PECOS PAC ID: 5092152322 Enrollment ID: I20240322001329 |
| Provider Name | Renie Stoller-zak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023407889 PECOS PAC ID: 9234576216 Enrollment ID: I20240326003237 |
| Provider Name | Mark Warner Bey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952049595 PECOS PAC ID: 7911344833 Enrollment ID: I20240327000571 |
| Provider Name | Antonina Sophia Lunetta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437678927 PECOS PAC ID: 7012355597 Enrollment ID: I20240403000685 |
| Provider Name | Ross Pepper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639639297 PECOS PAC ID: 4284964040 Enrollment ID: I20240408000288 |
| Provider Name | Elizabeth Ashley Ausland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881257434 PECOS PAC ID: 0143669515 Enrollment ID: I20240417004274 |
| Provider Name | Victoria Akhteebo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508475229 PECOS PAC ID: 7315386794 Enrollment ID: I20240418000420 |
| Provider Name | Dane J Davlantis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508239849 PECOS PAC ID: 6709225923 Enrollment ID: I20240419001693 |
| Provider Name | Laura Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851921308 PECOS PAC ID: 0345689543 Enrollment ID: I20240422000786 |
| Provider Name | Alexandra Kerri Gremp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518724988 PECOS PAC ID: 2264871227 Enrollment ID: I20240423004476 |
| Provider Name | Nathaniel Aaron Epstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366128431 PECOS PAC ID: 5597105445 Enrollment ID: I20240425003406 |
| Provider Name | Lovea Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982011482 PECOS PAC ID: 9931540606 Enrollment ID: I20240513000820 |
| Provider Name | Judith C Bitzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548483977 PECOS PAC ID: 7719328285 Enrollment ID: I20240515001061 |
| Provider Name | Katerina Fager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578969986 PECOS PAC ID: 4486095783 Enrollment ID: I20240517001778 |
| Provider Name | Natalie Eden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073086757 PECOS PAC ID: 8628419926 Enrollment ID: I20240517001894 |
| Provider Name | Darian Shamiya Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457823221 PECOS PAC ID: 4587106612 Enrollment ID: I20240605000057 |
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 |