Tricity Family Services | |
1120 Randall Ct Geneva IL 60134-3911 | |
(630) 232-1070 | |
(630) 232-1471 |
Full Name | Tricity Family Services |
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Speciality | Clinic/Center |
Location | 1120 Randall Ct, Geneva, Illinois |
Authorized Official Name and Position | Laura Poss (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6302321070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tricity Family Services 1120 Randall Ct Geneva IL 60134-3911 Ph: (630) 232-1070 | Tricity Family Services 1120 Randall Ct Geneva IL 60134-3911 Ph: (630) 232-1070 |
NPI Number | 1598850778 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 02/17/2022 |
Certification Date | 02/17/2022 |
Medicare PECOS PAC ID | 7416946934 |
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Medicare Enrollment ID | O20040510001288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598850778 | NPI | - | NPPES |
4515198 | Other | IL | BLUE CROSS BLUE SHIELD |
Provider Name | Gail E Mastio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730274804 PECOS PAC ID: 2466433420 Enrollment ID: I20040526000327 |
Provider Name | Emma Ab Cabusao |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417911744 PECOS PAC ID: 2769465376 Enrollment ID: I20040626000025 |
Provider Name | Adia Nishati Naba |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093038622 PECOS PAC ID: 8123159712 Enrollment ID: I20100625000465 |
Provider Name | Christine V Bruun |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538478326 PECOS PAC ID: 5496919060 Enrollment ID: I20120611000571 |
Provider Name | Kelly Nicole Horn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356718332 PECOS PAC ID: 0244527794 Enrollment ID: I20160927000980 |
Provider Name | Dara M Karlov |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629432299 PECOS PAC ID: 3971881384 Enrollment ID: I20161104000992 |
Provider Name | Victoria A Wonak Bartkowiak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437431731 PECOS PAC ID: 8527347194 Enrollment ID: I20161123000182 |
Provider Name | Lynn Butler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801567474 PECOS PAC ID: 1850771585 Enrollment ID: I20220712000775 |
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