| Mr Donell Bluford Jr, LCSW | |
|
24600 W 127th St Ste 325, Plainfield, IL 60585-9507 | |
| (630) 291-0155 | |
| Not Available |
| Full Name | Mr Donell Bluford Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 24600 W 127th St Ste 325, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033797493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.023021 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donell Bluford Jr, LCSW 24600 W 127th St Bldg B, Plainfield, IL 60585-9509 Ph: (630) 291-0155 | Mr Donell Bluford Jr, LCSW 24600 W 127th St Ste 325, Plainfield, IL 60585-9507 Ph: (630) 291-0155 |
Mrs. Charlene Heather Sobieszczyk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13300 S Route 59, Suite B-7, Plainfield, IL 60585 Phone: 815-577-3666 | |
Mrs. Robin Anne Contreras, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Plainfield, IL 60585 Phone: 815-731-9100 | |
Caryn Burke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15017 S Bartlett Ave, Plainfield, IL 60544 Phone: 630-642-0659 | |
Sara Kaitlyn Denova, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24600 W 127th St Ste 325, Plainfield, IL 60585 Phone: 779-263-9100 | |
Mr. Jeffrey Walter Fish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7412 Fordham Ln, Plainfield, IL 60586 Phone: 331-248-7249 | |
Viktorija Bennett, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10204 Bode St Ste B, Plainfield, IL 60585 Phone: 630-896-7160 |