| Family Service Of Glencoe | |
|
675 Village Ct Glencoe IL 60022-1609 | |
| (847) 835-5111 | |
| Not Available |
| Full Name | Family Service Of Glencoe |
|---|---|
| Speciality | Counselor |
| Location | 675 Village Ct, Glencoe, Illinois |
| Authorized Official Name and Position | Amber Mercedes Bond (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8478355111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Glencoe 675 Village Ct Glencoe IL 60022-1609 Ph: (847) 835-5111 | Family Service Of Glencoe 675 Village Ct Glencoe IL 60022-1609 Ph: (847) 835-5111 |
| NPI Number | 1518044890 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4880953082 |
|---|---|
| Medicare Enrollment ID | O20180116001685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518044890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Tami Sollo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013144112 PECOS PAC ID: 9032248331 Enrollment ID: I20100525000687 |
| Provider Name | Joan G Merlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538345806 PECOS PAC ID: 4880953991 Enrollment ID: I20180118001401 |
| Provider Name | Emily H Mysel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982194882 PECOS PAC ID: 3678829595 Enrollment ID: I20180709000830 |
| Provider Name | Adriana A Ochoa Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013371509 PECOS PAC ID: 9739544263 Enrollment ID: I20230504002728 |
| Provider Name | Tara A Bagnola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104568021 PECOS PAC ID: 3476901570 Enrollment ID: I20231130000912 |
| Provider Name | Amber Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386016178 PECOS PAC ID: 7618348558 Enrollment ID: I20240402001518 |
Wilpower, Unc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Jefferson Ave, Glencoe, IL 60022 Phone: 847-501-2939 | |
Neuro-diagnostic Institute Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Hohlfelder Rd, 100, Glencoe, IL 60022 Phone: 847-471-8587 | |
Miriam Fishman, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Vernon Ave, Suite G, Glencoe, IL 60022 Phone: 847-835-1770 | |
Michael S Black Ph D And Park Psychological Services Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 Park Ave, Glencoe, IL 60022 Phone: 847-835-5517 Fax: 847-835-3321 | |
Christopher L. Johnston,ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Green Bay Rd, Suite3, Glencoe, IL 60022 Phone: 847-835-7242 | |
Melampus, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Sylvan Rd, Glencoe, IL 60022 Phone: 847-835-0277 Fax: 847-835-0277 |