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1585 N Milwaukee Ave Ste 116 Libertyville IL 60048-1359 | |
| (847) 997-1031 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1585 N Milwaukee Ave Ste 116, Libertyville, Illinois |
| Authorized Official Name and Position | Lisa Garcia (OWNER) |
| Authorized Official Contact | 7738700261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1585 N Milwaukee Ave Ste 116 Libertyville IL 60048-1359 Ph: (847) 997-1031 | 1585 N Milwaukee Ave Ste 116 Libertyville IL 60048-1359 Ph: (847) 997-1031 |
| NPI Number | 1669196499 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 2860848942 |
|---|---|
| Medicare Enrollment ID | O20231025003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669196499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063168417 PECOS PAC ID: 3577919661 Enrollment ID: I20231025003168 |
| Provider Name | Frances C Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770767295 PECOS PAC ID: 0345699955 Enrollment ID: I20231207003439 |
| Provider Name | Brooke A Projansky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053813253 PECOS PAC ID: 3072960798 Enrollment ID: I20240228000802 |
| Provider Name | Tricia Anne Saviano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013215607 PECOS PAC ID: 6406202589 Enrollment ID: I20240228002686 |
| Provider Name | Rachel Anne Kornacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952067233 PECOS PAC ID: 1557804705 Enrollment ID: I20240617002565 |
| Provider Name | Amy Cassandra Cwiklinski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700585379 PECOS PAC ID: 3476094848 Enrollment ID: I20240925002691 |
| Provider Name | Amy Michelle Eliacin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770700924 PECOS PAC ID: 0244764298 Enrollment ID: I20241113001531 |
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