Damien Antwine, NCSP | |
402 Richards St, Joliet, IL 60433-2218 | |
(815) 727-5271 | |
Not Available |
Full Name | Damien Antwine |
---|---|
Gender | Male |
Speciality | Psychologist - School |
Location | 402 Richards St, Joliet, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225792427 | NPI | - | NPPES |
6099042 | Medicaid | IL | |
1185755 | Medicaid | IL | |
63445 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | 1185755 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Damien Antwine, NCSP 1686 Rose Cir, Romeoville, IL 60446-4891 Ph: (630) 864-0704 | Damien Antwine, NCSP 402 Richards St, Joliet, IL 60433-2218 Ph: (815) 727-5271 |
Laura Jackman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Maple Rd, Joliet, IL 60432 Phone: 815-735-0732 | |
Zarifa Jadallah, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 | |
Rita Gray Ii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-5904 Fax: 815-727-0136 | |
Shadequia Davis, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402 Richards St, Joliet, IL 60433 Phone: 815-727-5271 | |
Dr. Angela N Chastain, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521 | |
Dr. Matthew Edward Skarbek, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 Springfield Ave, Joliet, IL 60435 Phone: 630-369-2889 | |
Lauren Key, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 |