| Ms Ruth Mellenthin, LCSW | |
| 
					1803 W Willow Ln, Mt Prospect, IL 60056-4412  | |
| (312) 810-2601 | |
| Not Available | 
| Full Name | Ms Ruth Mellenthin | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1803 W Willow Ln, Mt Prospect, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104206655 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-018650 (Illinois) | Primary | 
| 104100000X | Social Worker | 150-013328 (Illinois) | Secondary | 
| Entity Name | Rodasi Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Ruth Mellenthin, LCSW 1803 W Willow Ln, Mt Prospect, IL 60056-4412 Ph: (312) 810-2601  | Ms Ruth Mellenthin, LCSW 1803 W Willow Ln, Mt Prospect, IL 60056-4412 Ph: (312) 810-2601  | 
Jean Ackermans,  Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 E Northwest Hwy, 106, Mt Prospect, IL 60056 Phone: 847-909-9858  | |
Eileen Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E Northwest Hwy, Suite 106, Mt Prospect, IL 60056 Phone: 630-862-0834  | |
Meridian Ruby,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1585 Dempster St, Mt Prospect, IL 60056 Phone: 847-621-2040  | |
Nicole M Tolentino, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 S William St, Mt Prospect, IL 60056 Phone: 847-630-5425  | |
Mr. George E Becker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E Northwest Hwy, #106, Mt Prospect, IL 60056 Phone: 847-909-7635  |