| Teresa Eubanks, LCSW | |
|
1304 Franklin Ave, Normal, IL 61761-3558 | |
| (309) 268-5334 | |
| Not Available |
| Full Name | Teresa Eubanks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1304 Franklin Ave, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124727011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019749 (Illinois) | Primary |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Eubanks, LCSW 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Teresa Eubanks, LCSW 1304 Franklin Ave, Normal, IL 61761-3558 Ph: (309) 268-5334 |
Laurie Krolikowski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1306 Stephens Dr, Normal, IL 61761 Phone: 309-532-4572 | |
Mary Ann Pullin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 Fax: 309-454-9257 | |
Ms. Naomi Wilansky, MSS LCSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Beech St, Bldg 10, Normal, IL 61761 Phone: 309-825-8818 Fax: 309-452-1265 | |
Cheri Carroll, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Laura Jennings-mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E Lincoln St, Ste 303, Normal, IL 61761 Phone: 309-451-9495 | |
Sarah E Walters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2958 Benson Ln, Normal, IL 61761 Phone: 815-243-0177 |