Emma L Burton-loder, LCSW | |
2710 17th St, Zion, IL 60099-1543 | |
(773) 358-1561 | |
Not Available |
Full Name | Emma L Burton-loder |
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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 |
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1841991544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.021002 (Illinois) | Primary |
Entity Name | Center For Enriched Living |
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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 |
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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 |