| 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: Accepting Medicare Assignments 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 |