| Mina Lee, LCSW | |
|
1415 W 22nd St, Oak Brook, IL 60523-2074 | |
| (217) 352-0200 | |
| (217) 607-1139 |
| Full Name | Mina Lee |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1415 W 22nd St, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164139515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149025044 (Illinois) | Primary |
| Entity Name | Keri Powell Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Mina Lee, LCSW 2125 S Neil St, Champaign, IL 61820-7266 Ph: (217) 352-0200 | Mina Lee, LCSW 1415 W 22nd St, Oak Brook, IL 60523-2074 Ph: (217) 352-0200 |
Ms. Debra Gilbert Rosenberg, AM LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Spring Rd, Suite 215, Oak Brook, IL 60523 Phone: 708-704-1208 Fax: 708-386-2641 | |
Dr. Scott Henry De Valk, PSY.D., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3500 Spring Rd, Oak Brook, IL 60523 Phone: 630-655-0404 Fax: 630-655-0101 | |
Ms. Tamika P Washington, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1415 West 22nd Street, Tower Floor, Oak Brook, IL 60523 Phone: 708-689-9545 | |
Debora Romeo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2625 Butterfield Rd, Suite 101w, Oak Brook, IL 60523 Phone: 847-849-9350 Fax: 630-368-1120 | |
Traci Renee Gunnells-kerzich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2803 Butterfield Rd Ste 200, Oak Brook, IL 60523 Phone: 630-424-9204 | |
Peggy Lavin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2907 Butterfield Rd, Suite 240, Oak Brook, IL 60523 Phone: 630-586-0900 Fax: 630-586-9990 | |
Hawa Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W 22nd St Ste 250, Oak Brook, IL 60523 Phone: 630-230-6505 |