| Mr John W Illingworth, MSW | |
|
4311 Easton Ave, Bethlehem, PA 18020-1431 | |
| (484) 526-2400 | |
| (484) 526-3697 |
| Full Name | Mr John W Illingworth |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4311 Easton Ave, Bethlehem, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306800420 | NPI | - | NPPES |
| SW013073L | Other | PA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John W Illingworth, MSW 4311 Easton Ave, Bethlehem, PA 18020-1431 Ph: (484) 526-2400 | Mr John W Illingworth, MSW 4311 Easton Ave, Bethlehem, PA 18020-1431 Ph: (484) 526-2400 |
Ms. Allison Lech, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2604 Schoenersville Rd, Bethlehem, PA 18017 Phone: 610-691-8028 | |
Katie Lennon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 E Broad St Ste 2, Bethlehem, PA 18018 Phone: 610-973-5335 | |
Mr. Paul Casner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 514 Kevin Dr, Bethlehem, PA 18017 Phone: 610-997-0665 | |
Elisha J Elliott Leavy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3897 Adler Pl, Suite 130, Bldg C, Bethlehem, PA 18017 Phone: 484-895-3720 Fax: 484-895-3723 | |
Evette Maisonet, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2710 Schoenersville Rd, Bethlehem, PA 18017 Phone: 610-297-7500 Fax: 610-297-7533 | |
Carl Joshua Kehler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Jennings St, Bethlehem, PA 18017 Phone: 610-297-6768 | |
Ms. Lucille Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 E Broad St, Bethlehem, PA 18018 Phone: 610-861-8779 Fax: 610-861-4677 |