| Mr David Manuel Salas, LCSW | |
|
7375 Cumberland Dr, Hanover Park, IL 60133-2673 | |
| (773) 908-0454 | |
| Not Available |
| Full Name | Mr David Manuel Salas |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 7375 Cumberland Dr, Hanover Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508203928 | NPI | - | NPPES |
| PENDING | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015932 (Illinois) | Primary |
| Entity Name | Primecare Community Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558532739 PECOS PAC ID: 6204722077 Enrollment ID: O20040227000011 |
| Entity Name | Dearbone Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902333651 PECOS PAC ID: 0648617670 Enrollment ID: O20240326001481 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Manuel Salas, LCSW 7375 Cumberland Drive, Hanover Park, IL 60133 Ph: () - | Mr David Manuel Salas, LCSW 7375 Cumberland Dr, Hanover Park, IL 60133-2673 Ph: (773) 908-0454 |
Patsy Tucker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1526 Sutter Dr, Hanover Park, IL 60133 Phone: 919-887-7555 | |
Alexis Kathryn Finnander, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 E Lake St Ste 202, Hanover Park, IL 60133 Phone: 844-599-3700 |