| Cory James Grad, LCSW | |
|
1023 Burlington Ave, Western Springs, IL 60558-1516 | |
| (708) 995-3680 | |
| Not Available |
| Full Name | Cory James Grad |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1023 Burlington Ave, Western Springs, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265825202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.024766 (Illinois) | Primary |
| 385H00000X | Respite Care | (Illinois) | Secondary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory James Grad, LCSW 1023 Burlington Ave, Western Springs, IL 60558-1516 Ph: (708) 995-3680 | Cory James Grad, LCSW 1023 Burlington Ave, Western Springs, IL 60558-1516 Ph: (708) 995-3680 |
Amy Maura Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 822 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-246-4277 | |
Carolyn Bonistalli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 Fair Elms Ave, Western Springs, IL 60558 Phone: 708-732-0654 | |
Mrs. Brooke Greco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4727 Howard Ave, Western Springs, IL 60558 Phone: 847-917-1185 | |
Ms. Julie Fallon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4839 Wolf Rd, Western Springs, IL 60558 Phone: 708-829-1869 | |
Cecilia Yasmine Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 822 Hillgrove Ave Ste 2, Western Springs, IL 60558 Phone: 872-254-3804 | |
Mrs. Geri Ann Silic, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 822 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-246-4277 |