Lotus Wellness Center P.c. | |
1292 W Northwest Hwy, Palatine, IL 60067 | |
(773) 592-7227 | |
Not Available |
Full Name | Lotus Wellness Center P.c. |
---|---|
Type | Facility |
Speciality | Counselor - Mental Health |
Location | 1292 W Northwest Hwy, Palatine, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114450061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038011689 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 180009919 (Illinois) | Primary |
Provider Name | Leo Gerdov |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366760308 PECOS PAC ID: 7810181245 Enrollment ID: I20101029001181 |
Provider Name | Liana Gerdov |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649539560 PECOS PAC ID: 1850700030 Enrollment ID: I20210430000123 |
Provider Name | Emily E Dohm |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679106207 PECOS PAC ID: 7719385392 Enrollment ID: I20211012002727 |
Provider Name | Jennifer L Annen |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619321692 PECOS PAC ID: 5395182588 Enrollment ID: I20240322004327 |
Provider Name | Logan Chambers |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821632910 PECOS PAC ID: 3779922489 Enrollment ID: I20240415001489 |
Provider Name | Alyssa Raiche-salek |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770330417 PECOS PAC ID: 1052857083 Enrollment ID: I20240725002641 |
Mailing Address | Practice Location Address |
---|---|
Lotus Wellness Center P.c. 638 Dunsten Cir, Northbrook, IL 60062-2613 Ph: () - | Lotus Wellness Center P.c. 1292 W Northwest Hwy, Palatine, IL 60067 Ph: (773) 592-7227 |