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1010 Lake St Oak Park IL 60301-1147 | |
| (708) 628-8000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Carey Carlock (MANAGER) |
| Authorized Official Contact | 7086288000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
386 N. York Rd Suite 204 Elmhurst IL 60126-2365 Ph: (708) 628-8000 | 1010 Lake St Oak Park IL 60301-1147 Ph: (708) 628-8000 |
| NPI Number | 1851065502 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 06/23/2023 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 1355728353 |
|---|---|
| Medicare Enrollment ID | O20220512001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065502 | NPI | - | NPPES |
| Provider Name | Joseph C Beck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386682144 PECOS PAC ID: 8426061946 Enrollment ID: I20060728000025 |
| Provider Name | Christine L Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215109384 PECOS PAC ID: 3870662174 Enrollment ID: I20080513000117 |
| Provider Name | Jennifer Christine Offen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437588472 PECOS PAC ID: 9739303330 Enrollment ID: I20160620001367 |
| Provider Name | Kellie Vaidya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346781879 PECOS PAC ID: 5597042754 Enrollment ID: I20170426001273 |
| Provider Name | Sarah B Schrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689232522 PECOS PAC ID: 3375872831 Enrollment ID: I20190909001567 |
| Provider Name | Amy Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043529647 PECOS PAC ID: 9335325257 Enrollment ID: I20191008003248 |
| Provider Name | Tamara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164883864 PECOS PAC ID: 6204267578 Enrollment ID: I20200521000310 |
| Provider Name | Paige Bartley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215408885 PECOS PAC ID: 9931587417 Enrollment ID: I20220613001470 |
| Provider Name | Joan Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235781907 PECOS PAC ID: 3870977218 Enrollment ID: I20220901003504 |
| Provider Name | Megan Gray-gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609378462 PECOS PAC ID: 5092199240 Enrollment ID: I20220907001844 |
| Provider Name | Jennifer P Cutilletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700093093 PECOS PAC ID: 2062660640 Enrollment ID: I20221020001348 |
| Provider Name | Jennifer Scharping |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134448343 PECOS PAC ID: 9830561026 Enrollment ID: I20230216002141 |
| Provider Name | Emily Vanella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669179453 PECOS PAC ID: 5698148351 Enrollment ID: I20230227002789 |
| Provider Name | Andrea Doherty Lissuzzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699375592 PECOS PAC ID: 9133534688 Enrollment ID: I20230519001186 |
| Provider Name | Monica Lynette Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467149237 PECOS PAC ID: 3274990239 Enrollment ID: I20230606002734 |
| Provider Name | Sophia Mae Cipriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174140255 PECOS PAC ID: 2264893064 Enrollment ID: I20230726001721 |
| Provider Name | Aniruddha Deka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689166027 PECOS PAC ID: 2860749660 Enrollment ID: I20230911002982 |
| Provider Name | Brian Anerino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962946111 PECOS PAC ID: 9830553668 Enrollment ID: I20230913001026 |
| Provider Name | Karina Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336882513 PECOS PAC ID: 4385008721 Enrollment ID: I20230918003430 |
| Provider Name | Yesenia Fabiola Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477325629 PECOS PAC ID: 6507213386 Enrollment ID: I20231116000376 |
| Provider Name | Zechariah Kaine Strine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811650765 PECOS PAC ID: 9638527864 Enrollment ID: I20231129001971 |
| Provider Name | Kristen Sweas Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235260936 PECOS PAC ID: 4183074636 Enrollment ID: I20231222003080 |
| Provider Name | Jasmine Baggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780342311 PECOS PAC ID: 1658722137 Enrollment ID: I20240109002674 |
| Provider Name | Jessica Ann Osullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376318402 PECOS PAC ID: 5092167619 Enrollment ID: I20240119001116 |
| Provider Name | Sarah Gillespie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124716030 PECOS PAC ID: 8224473491 Enrollment ID: I20240227003145 |
| Provider Name | Gabriella Celeste Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801432604 PECOS PAC ID: 6709226491 Enrollment ID: I20240429001226 |
| Provider Name | Kasey Leigh Zaremba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619716644 PECOS PAC ID: 6709329311 Enrollment ID: I20240624000647 |
| Provider Name | Michael Patrick Mccauley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609548049 PECOS PAC ID: 4587107131 Enrollment ID: I20240624003408 |
Oak Park Behavioral Medicine Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 818 Harrison St, Suite 210, Oak Park, IL 60304 Phone: 312-725-6175 | |
Insight Behavioral Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St, Suite 430, Oak Park, IL 60301 Phone: 312-540-9955 | |
Amy Schigelone Phd Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1100 Lake St, Suite 35, Oak Park, IL 60301 Phone: 708-934-4492 | |
Ki Insight Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 N. Oak Park Ave., Ste 215 #4636, Oak Park, IL 60301 Phone: 630-733-8903 | |
Change Resources Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake St, Oak Park, IL 60301 Phone: 708-203-6625 | |
Oak Leyden Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Chicago Ave, Oak Park, IL 60302 Phone: 708-524-1050 Fax: 708-524-2469 | |