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610 S Maple Ave Suite 5300 Oak Park IL 60304-1091 | |
| (773) 665-8052 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 610 S Maple Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Carla Fick (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 6308532666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
610 S Maple Ave Suite 5300 Oak Park IL 60304-1091 Ph: (773) 665-8052 | 610 S Maple Ave Suite 5300 Oak Park IL 60304-1091 Ph: (773) 665-8052 |
| NPI Number | 1922206101 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Medicare PECOS PAC ID | 8729261011 |
|---|---|
| Medicare Enrollment ID | O20110323001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922206101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Margo E Murvay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174612402 PECOS PAC ID: 2163475385 Enrollment ID: I20050301000071 |
| Provider Name | Carla B Beatrici |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568438034 PECOS PAC ID: 7012070659 Enrollment ID: I20090108000454 |
| Provider Name | Tamara L Tencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811101249 PECOS PAC ID: 3173706140 Enrollment ID: I20110329000501 |
| Provider Name | Carol K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124233051 PECOS PAC ID: 1850574849 Enrollment ID: I20110329000706 |
| Provider Name | Sara B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750598728 PECOS PAC ID: 5890978803 Enrollment ID: I20110329000920 |
| Provider Name | Sara M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477855021 PECOS PAC ID: 8921279308 Enrollment ID: I20110914000806 |
| Provider Name | Julia O Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053798926 PECOS PAC ID: 7810282654 Enrollment ID: I20160818001373 |
| Provider Name | Michaek J Zakalik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164738548 PECOS PAC ID: 0143518142 Enrollment ID: I20161006001477 |
| Provider Name | Angela Hunsicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144438623 PECOS PAC ID: 8426346131 Enrollment ID: I20161013000150 |
| Provider Name | Jane L Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033346051 PECOS PAC ID: 7618236985 Enrollment ID: I20180111001818 |
| Provider Name | Paula Lynne Ciccarone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386355907 PECOS PAC ID: 8325412687 Enrollment ID: I20230328001912 |
| Provider Name | Laura Bentley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962068957 PECOS PAC ID: 7113369299 Enrollment ID: I20240521001303 |
| Provider Name | Katherine Louise Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386268357 PECOS PAC ID: 0941747612 Enrollment ID: I20240731002182 |
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