| Katherine Elizabeth Siembab, | |
|
926 Grant St, Peru, IL 61354-2656 | |
| (815) 883-1383 | |
| Not Available |
| Full Name | Katherine Elizabeth Siembab |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 926 Grant St, Peru, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598485377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149024180 (Illinois) | Primary |
| Entity Name | Life Solutions Integrative Healing & Well Being Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720462799 PECOS PAC ID: 7214307784 Enrollment ID: O20221227000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Elizabeth Siembab, 926 Grant St, Peru, IL 61354-2656 Ph: (815) 883-1383 | Katherine Elizabeth Siembab, 926 Grant St, Peru, IL 61354-2656 Ph: (815) 883-1383 |
Victoria Merritt Winterrose, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 710 Peoria St, Peru, IL 61354 Phone: 815-780-0690 Fax: 815-410-1937 | |
Laura Schwingle, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4461 Progress Blvd, Peru, IL 61354 Phone: 815-223-9678 | |
Christine Kohut, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 5th St Ste 197, Peru, IL 61354 Phone: 815-617-9420 |