| Mrs Cristina Lynn Mugrage, MSW | |
|
4700 N Prospect Rd, Suite A1, Peoria Heights, IL 61616-6451 | |
| (309) 212-3606 | |
| (888) 474-1956 |
| Full Name | Mrs Cristina Lynn Mugrage |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4700 N Prospect Rd, Peoria Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306804281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.011980 (Illinois) | Primary |
| Entity Name | Sinnissippi Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cristina Lynn Mugrage, MSW 220 Orlando Ave, Normal, IL 61761-1356 Ph: (309) 212-3606 | Mrs Cristina Lynn Mugrage, MSW 4700 N Prospect Rd, Suite A1, Peoria Heights, IL 61616-6451 Ph: (309) 212-3606 |
Maureen Sue Anderson, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N Prospect Rd, A1, Peoria Heights, IL 61616 Phone: 309-682-3915 | |
Mary Ann Eichorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N Prospect Rd, Suite A-1, Peoria Heights, IL 61616 Phone: 309-679-1700 Fax: 309-679-0703 | |
Megan Stickelmaier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-863-5133 | |
Danyelle Barlow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616 Phone: 309-363-7594 Fax: 309-966-3621 | |
Jessica Lynn Wooden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E War Memorial Dr Ste D, Peoria Heights, IL 61616 Phone: 309-326-5820 Fax: 309-403-0346 | |
Amanda M Crusen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-712-7996 |