| Madrigal Transition Counseling | |
|
450 E 22nd St Ste 150 Lombard IL 60148-6118 | |
| (331) 262-4049 | |
| Not Available |
| Full Name | Madrigal Transition Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 450 E 22nd St Ste 150, Lombard, Illinois |
| Authorized Official Name and Position | Cesar Madrigal (CO OWNER) |
| Authorized Official Contact | 6304743900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madrigal Transition Counseling 450 E 22nd St Ste 158 Lombard IL 60148-6175 Ph: (304) 743-9006 | Madrigal Transition Counseling 450 E 22nd St Ste 150 Lombard IL 60148-6118 Ph: (331) 262-4049 |
| NPI Number | 1649780016 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 8820336563 |
|---|---|
| Medicare Enrollment ID | O20190205001919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649780016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.004898 (Illinois) | Primary |
| Provider Name | Cesar Madrigal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487745055 PECOS PAC ID: 8022205673 Enrollment ID: I20101208000326 |
| Provider Name | Betty E Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669980462 PECOS PAC ID: 1951655067 Enrollment ID: I20181108000376 |
| Provider Name | Carie Lynn Johnstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578088951 PECOS PAC ID: 1557609294 Enrollment ID: I20190205002058 |
| Provider Name | Holly Jean Mareski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699233825 PECOS PAC ID: 4789912205 Enrollment ID: I20190822000364 |
| Provider Name | Michelle Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932552668 PECOS PAC ID: 1456763150 Enrollment ID: I20201223000085 |
| Provider Name | Deborah Cremieux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578011128 PECOS PAC ID: 6406262500 Enrollment ID: I20210316001588 |
| Provider Name | Brandon Elias John Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649043340 PECOS PAC ID: 8820447667 Enrollment ID: I20231206000055 |
| Provider Name | Clare Pajak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265984959 PECOS PAC ID: 8729425418 Enrollment ID: I20240318000491 |
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