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500 Coventry Ln Ste 130 Crystal Lake IL 60014-7578 | |
| (815) 889-0582 | |
| (815) 205-4083 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 500 Coventry Ln Ste 130, Crystal Lake, Illinois |
| Authorized Official Name and Position | Linda Hadlock (OWNER) |
| Authorized Official Contact | 8158890582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1309 Mulberry Ln Cary IL 60013-1854 Ph: (815) 355-6981 | 500 Coventry Ln Ste 130 Crystal Lake IL 60014-7578 Ph: (815) 889-0582 |
| NPI Number | 1710749353 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 6608216528 |
|---|---|
| Medicare Enrollment ID | O20240425002406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710749353 | NPI | - | NPPES |
| Provider Name | Linda Hadlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740042357 PECOS PAC ID: 7416397336 Enrollment ID: I20240425002568 |
| Provider Name | Megan Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376977546 PECOS PAC ID: 8426590613 Enrollment ID: I20240603003343 |
| Provider Name | Constance Renae White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649619537 PECOS PAC ID: 3779027768 Enrollment ID: I20240702000106 |
Bennett & Bennett Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Route 176, Crystal Lake, IL 60014 Phone: 815-477-4003 | |
Beyond Play Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Nunda Trl, Crystal Lake, IL 60012 Phone: 224-201-8769 Fax: 224-324-8549 | |
Crystal Lake Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014 Phone: 815-893-9839 | |
Douglas N Neal & Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Drive, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779 | |
Edwin V. Gumapas M.d. Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |