| Lisa A. Stanton, P.c. | |
|
25 E Washington St Suite 1602 Chicago IL 60602-1708 | |
| (773) 320-5841 | |
| Not Available |
| Full Name | Lisa A. Stanton, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 25 E Washington St, Chicago, Illinois |
| Authorized Official Name and Position | Lisa A Stanton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7733205841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Stanton, P.c. 25 E. Washington Suite 1602 Chicago IL 60602-1882 Ph: (773) 320-5841 | Lisa A. Stanton, P.c. 25 E Washington St Suite 1602 Chicago IL 60602-1708 Ph: (773) 320-5841 |
| NPI Number | 1386903565 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 3678738622 |
|---|---|
| Medicare Enrollment ID | O20120626000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386903565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149010854 (Illinois) | Primary |
| Provider Name | Lisa A Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932209327 PECOS PAC ID: 8426073750 Enrollment ID: I20051006000078 |
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