| Emma L Burton-loder, LCSW | |
| 
					2710 17th St, Zion, IL 60099-1543  | |
| (773) 358-1561 | |
| Not Available | 
| Full Name | Emma L Burton-loder | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2710 17th St, Zion, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841991544 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.021002 (Illinois) | Primary | 
| Entity Name | Center For Enriched Living | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639681653 PECOS PAC ID: 9436515632 Enrollment ID: O20230512002148  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emma L Burton-loder, LCSW 2710 17th St, Zion, IL 60099-1543 Ph: () -  | Emma L Burton-loder, LCSW 2710 17th St, Zion, IL 60099-1543 Ph: (773) 358-1561  | 
Ms. Nancy Sue Ntim, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2007 Elim Ave # B, Zion, IL 60099 Phone: 224-656-9037  | |
Robert Cuba, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1911 27th St, Zion, IL 60099 Phone: 847-377-8800  | |
Katherine Puckett, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 847-872-6450  |