Summit Center For Mental Health Inc | |
3033 W Jefferson St Suite 107 Joliet IL 60435-5261 | |
(815) 773-0772 | |
(815) 773-0771 |
Full Name | Summit Center For Mental Health Inc |
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Speciality | Counselor |
Location | 3033 W Jefferson St, Joliet, Illinois |
Authorized Official Name and Position | Kathleen Lynn Foley (CLINICAL DIRECTOR) |
Authorized Official Contact | 8157730772 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Center For Mental Health Inc 3033 W Jefferson St Suite 107 Joliet IL 60435-5261 Ph: (815) 773-0772 | Summit Center For Mental Health Inc 3033 W Jefferson St Suite 107 Joliet IL 60435-5261 Ph: (815) 773-0772 |
NPI Number | 1548274863 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 02/21/2011 |
Medicare PECOS PAC ID | 2365447232 |
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Medicare Enrollment ID | O20060927000421 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548274863 | NPI | - | NPPES |
Provider Name | Desiree A Rahman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871679522 PECOS PAC ID: 3971549718 Enrollment ID: I20050701000717 |
Provider Name | Kristin K Tyminski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497827067 PECOS PAC ID: 1850433004 Enrollment ID: I20100126000718 |
Provider Name | Meghan K Crandall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619141488 PECOS PAC ID: 1658414149 Enrollment ID: I20100205000370 |
Provider Name | Adam C Brown |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316179419 PECOS PAC ID: 9032350491 Enrollment ID: I20130726000553 |
Provider Name | Dana R Morton |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356541221 PECOS PAC ID: 9436334224 Enrollment ID: I20160627000190 |
Provider Name | Meera N Vasquez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154612398 PECOS PAC ID: 0244451698 Enrollment ID: I20160805001111 |
Provider Name | Stephen H Lanterman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235104647 PECOS PAC ID: 8224037700 Enrollment ID: I20190419000260 |
Provider Name | Krista M Raatjes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902348592 PECOS PAC ID: 4183966732 Enrollment ID: I20190430002147 |
Provider Name | Danielle L Markham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376173146 PECOS PAC ID: 8527498666 Enrollment ID: I20200414000614 |
Provider Name | Jennifer J Planing |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871671859 PECOS PAC ID: 3476903709 Enrollment ID: I20240110003397 |
Provider Name | Sandra H Kath-lanterman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225116296 PECOS PAC ID: 6406207646 Enrollment ID: I20240111003459 |
Provider Name | Leigh Bancsy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124177753 PECOS PAC ID: 2466800545 Enrollment ID: I20240118002798 |
Provider Name | Herbert L Stricklin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770643850 PECOS PAC ID: 6002264017 Enrollment ID: I20240123003463 |
Provider Name | Michele L Schuster |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346646429 PECOS PAC ID: 7315396686 Enrollment ID: I20240209003145 |
Provider Name | Carrie E Vodnik |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396084646 PECOS PAC ID: 8628413960 Enrollment ID: I20240227003374 |
Provider Name | Lorraine H Leiser |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902827090 PECOS PAC ID: 6103261037 Enrollment ID: I20240229003921 |
Provider Name | Mohammad H Siddiqui |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740775246 PECOS PAC ID: 0648616813 Enrollment ID: I20240311000359 |
Provider Name | Lisa J Bruno |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558474692 PECOS PAC ID: 3971941139 Enrollment ID: I20240405003753 |
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Med-advo-c Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Yorkshire Ct, Joliet, IL 60431 Phone: 708-972-9715 Fax: 630-326-3382 | |
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