| Family Service Of Lake County | |
|
777 Central Ave Highland Park IL 60035 | |
| (847) 432-4981 | |
| (847) 432-7331 |
| Full Name | Family Service Of Lake County |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 777 Central Ave, Highland Park, Illinois |
| Authorized Official Name and Position | Diana Nunez (CLINICAL CARE COORDINATOR) |
| Authorized Official Contact | 8474324981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Lake County 777 Central Ave Highland Park IL 60035-3240 Ph: (847) 432-4981 | Family Service Of Lake County 777 Central Ave Highland Park IL 60035 Ph: (847) 432-4981 |
| NPI Number | 1649320847 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Medicare PECOS PAC ID | 5496723397 |
|---|---|
| Medicare Enrollment ID | O20040920000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649320847 | NPI | - | NPPES |
| 0004915366 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Diane M Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093985848 PECOS PAC ID: 1355308669 Enrollment ID: I20041217000238 |
| Provider Name | Linda Folan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831176676 PECOS PAC ID: 6608018049 Enrollment ID: I20150324002530 |
| Provider Name | Eevon Swilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912550773 PECOS PAC ID: 5092120832 Enrollment ID: I20210209001294 |
Ellen Diamond Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1866 Sheridan Rd Ste 207, Highland Park, IL 60035 Phone: 847-433-3815 Fax: 847-433-3203 | |
Lotus Behavioral Health And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 1st St Ste 302, Highland Park, IL 60035 Phone: 312-420-6427 | |
Anna K. Lieblich, Lcsw, Lmft, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Sheridan Rd, Suite 207, Highland Park, IL 60035 Phone: 847-432-6674 | |
Ravinia Counseling, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Ravinia Park Rd, Highland Park, IL 60035 Phone: 847-514-7260 Fax: 847-926-9936 | |
New Edge Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 771 Broadview Ave, Highland Park, IL 60035 Phone: 312-989-5432 | |
Playful Bonds Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Dato Ave, Highland Park, IL 60035 Phone: 847-757-3533 | |
Wendie T Dalberg Lcsw And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1893 Sheridan Rd Ste 303, Highland Park, IL 60035 Phone: 847-433-3803 |