| James Boggess, | |
|
2656 W Montrose Ave, Chicago, IL 60618-1559 | |
| (773) 267-5795 | |
| (773) 267-4787 |
| Full Name | James Boggess |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2656 W Montrose Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902216849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.007483 (Illinois) | Primary |
| Entity Name | Crossroads Counseling Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427205111 PECOS PAC ID: 9234280710 Enrollment ID: O20090623000395 |
| Entity Name | Blue Moon Senior Counseling of Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
| Mailing Address | Practice Location Address |
|---|---|
| James Boggess, 2656 W Montrose Ave, Chicago, IL 60618-1559 Ph: (773) 267-5795 | James Boggess, 2656 W Montrose Ave, Chicago, IL 60618-1559 Ph: (773) 267-5795 |
Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751 |
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977 |
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808 |
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517 |
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168 |
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576 |
Mrs. Eliverta Barjamaj, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 912 S Wood St, Room 743, Chicago, IL 60612 Phone: 312-355-4901 |