| Tomy Kannala, LCSW | |
|
919 Arnold Ct, Des Plaines, IL 60016-5868 | |
| (224) 625-0632 | |
| Not Available |
| Full Name | Tomy Kannala |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 919 Arnold Ct, Des Plaines, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417430216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149020548 (Illinois) | Primary |
| Entity Name | Deer Oaks Mid-west Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
| Mailing Address | Practice Location Address |
|---|---|
| Tomy Kannala, LCSW 919 Arnold Ct, Des Plaines, IL 60016-5868 Ph: (224) 625-0632 | Tomy Kannala, LCSW 919 Arnold Ct, Des Plaines, IL 60016-5868 Ph: (224) 625-0632 |
Shelley Jean Brucar, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Lee St, Suite 800, Des Plaines, IL 60016 Phone: 847-795-3945 | |
Mrs. Courtney Blum Bowles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1585 Ellinwood Ave, Ste 106, Des Plaines, IL 60016 Phone: 310-403-3825 | |
Ms. Kathleen C Petersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 591 Columbia Ave, Des Plaines, IL 60016 Phone: 847-757-5050 | |
Angela Branson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy, Des Plaines, IL 60016 Phone: 847-867-7924 | |
Michelle Alvarez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 E Oakton St Lot 91, Des Plaines, IL 60018 Phone: 847-347-1659 | |
Bridget Bauersfeld, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8901 Golf Rd Ste 301, Des Plaines, IL 60016 Phone: 847-318-9330 | |
Amy Beth Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 E Thacker St Ste 4, Des Plaines, IL 60016 Phone: 312-576-4128 |