| Carrie A Jura, LCSW | |
|
103 W Sumner St, Harvard, IL 60033-2898 | |
| (815) 220-5749 | |
| Not Available |
| Full Name | Carrie A Jura |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 103 W Sumner St, Harvard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326357351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012534 (Illinois) | Primary |
| Entity Name | Mathers Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671 |
| Entity Name | Deer Oaks Mid-west Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie A Jura, LCSW 103 W Sumner St, Harvard, IL 60033-2898 Ph: (815) 220-5749 | Carrie A Jura, LCSW 103 W Sumner St, Harvard, IL 60033-2898 Ph: (815) 220-5749 |
Maria Christina Viray, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 W Burbank St, Harvard, IL 60033 Phone: 815-403-5960 | |
Norma G Figueroa, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8707 Ferris Rd, Harvard, IL 60033 Phone: 815-900-4170 |