| Suzette Gray, MSW, LCSW | |
|
2212 W Grace St, Kankakee, IL 60901-4591 | |
| (815) 258-1868 | |
| Not Available |
| Full Name | Suzette Gray |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2212 W Grace St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962092981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149018593 (Illinois) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzette Gray, MSW, LCSW 2212 W Grace St, Kankakee, IL 60901-4591 Ph: (815) 258-1868 | Suzette Gray, MSW, LCSW 2212 W Grace St, Kankakee, IL 60901-4591 Ph: (815) 258-1868 |
Mrs. Sarah Elizabeth Wroblewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 S Small Ave, Kankakee, IL 60901 Phone: 815-954-7589 | |
Ms. Heather Marie Spina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1905 W Court St, Kankakee, IL 60901 Phone: 815-933-2240 | |
Patrick Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 N 5620w Rd, Kankakee, IL 60901 Phone: 630-849-5665 | |
Kayla Lynn Button, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 E Court St Ste 211, Kankakee, IL 60901 Phone: 815-246-2473 | |
Ms. Julene S. Bowley-vogen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1905 W Court St, Kankakee, IL 60901 Phone: 815-933-2240 | |
Mr. Peter Douglas Lamotte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 S Yates Ave, Kankakee, IL 60901 Phone: 815-830-9055 | |
Mrs. Lyda Shamblin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 S Small Ave, Kankakee, IL 60901 Phone: 815-932-4700 Fax: 815-932-5734 |