| Tonya Vander, LSW | |
|
3412 Harlem Ave, Riverside, IL 60546-2365 | |
| (708) 990-8221 | |
| Not Available |
| Full Name | Tonya Vander |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3412 Harlem Ave, Riverside, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134710825 | NPI | - | NPPES |
| 1275005670 | Other | IL | PSYCHEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.023013 (Illinois) | Primary |
| 104100000X | Social Worker | 150.103788 (Illinois) | Secondary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Vander, LSW 6301 N Talman Ave Apt 3, Chicago, IL 60659-1818 Ph: (312) 213-6244 | Tonya Vander, LSW 3412 Harlem Ave, Riverside, IL 60546-2365 Ph: (708) 990-8221 |
Reena Rosalyn Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 528 Selborne Rd, Riverside, IL 60546 Phone: 708-203-8187 | |
Ms. Amy Lee Kienow Paychek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 Lawton Rd, Riverside, IL 60546 Phone: 605-380-0349 | |
Ms. Jean R Clark, JEAN R CLARK Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 141 Barrypoint Rd, Riverside, IL 60546 Phone: 708-442-5728 | |
Paul Mcarthur Pedersen, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 E Burlington St, Riverside, IL 60546 Phone: 708-745-5277 | |
Kristie Shurtleff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 423 Selborne Rd, Riverside, IL 60546 Phone: 704-519-8988 |