| 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 |