| Courtney Allison Pechos, LCSW | |
|
6748 W 111th St, Worth, IL 60482-1912 | |
| (708) 361-9701 | |
| Not Available |
| Full Name | Courtney Allison Pechos |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6748 W 111th St, Worth, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720736994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13974753-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149024250 (Illinois) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Minuteclinic Video Virtual Care North Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
| Entity Name | Talkspace Provider Network Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20241001001571 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Allison Pechos, LCSW 10908 S Natchez Ave, Worth, IL 60482-1626 Ph: (708) 772-9999 | Courtney Allison Pechos, LCSW 6748 W 111th St, Worth, IL 60482-1912 Ph: (708) 361-9701 |
Lisa M Pertile, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111s1 S New England, Worth Junior High, Worth, IL 60482 Phone: 708-448-2803 Fax: 708-448-6155 |