Lotus Wellness Center P.c. | |
1292 W Northwest Hwy Palatine IL 60067 | |
(773) 592-7227 | |
Not Available |
Full Name | Lotus Wellness Center P.c. |
---|---|
Speciality | Counselor |
Location | 1292 W Northwest Hwy, Palatine, Illinois |
Authorized Official Name and Position | Leo Gerdov (OWNER) |
Authorized Official Contact | 6309885364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lotus Wellness Center P.c. 638 Dunsten Cir Northbrook IL 60062-2613 Ph: () - | Lotus Wellness Center P.c. 1292 W Northwest Hwy Palatine IL 60067 Ph: (773) 592-7227 |
NPI Number | 1114450061 |
---|---|
Provider Enumeration Date | 04/07/2017 |
Last Update Date | 06/21/2018 |
Medicare PECOS PAC ID | 8921375908 |
---|---|
Medicare Enrollment ID | O20170523000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114450061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180009919 (Illinois) | Primary |
111N00000X | Chiropractor | 038011689 (Illinois) | Secondary |
Provider Name | Leo Gerdov |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366760308 PECOS PAC ID: 7810181245 Enrollment ID: I20101029001181 |
Provider Name | Liana Gerdov |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649539560 PECOS PAC ID: 1850700030 Enrollment ID: I20210430000123 |
Provider Name | Emily E Dohm |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679106207 PECOS PAC ID: 7719385392 Enrollment ID: I20211012002727 |
Provider Name | Jennifer L Annen |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619321692 PECOS PAC ID: 5395182588 Enrollment ID: I20240322004327 |
Provider Name | Logan Chambers |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821632910 PECOS PAC ID: 3779922489 Enrollment ID: I20240415001489 |
Little City Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1770 Little City Drive, Palatine, IL 60067 Phone: 847-221-7123 | |
Andy Tucker Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 N North Ct Ste 150, Palatine, IL 60067 Phone: 847-834-9411 | |
Sage Stone Counseling Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Brockway St Ste 3-1, Palatine, IL 60067 Phone: 312-351-4225 Fax: 312-244-3060 | |
Mindful Support Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 N Brockway St Ste 300, Palatine, IL 60067 Phone: 630-640-3539 | |
Illinois Psych Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 738 E Dundee Rd, Palatine, IL 60074 Phone: 330-536-3746 Fax: 330-267-4250 | |
The Palatine Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N North Ct, Suite 250, Palatine, IL 60067 Phone: 847-530-0484 | |
New Transitions Counseling Center, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1312 W Northwest Hwy, Palatine, IL 60067 Phone: 847-873-1463 |