| Alexandra H Dolezal, | |
|
1761 S Naperville Rd Ste 103, Wheaton, IL 60189-5846 | |
| (630) 635-0577 | |
| Not Available |
| Full Name | Alexandra H Dolezal |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 1761 S Naperville Rd Ste 103, Wheaton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225781388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178013288 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180.015261 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sookh Pllc | 1658758123 | 4 |
| Entity Name | Sookh PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053064352 PECOS PAC ID: 1658758123 Enrollment ID: O20220523001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra H Dolezal, 1761 S Naperville Rd Ste 103, Wheaton, IL 60189-5846 Ph: (630) 635-0577 | Alexandra H Dolezal, 1761 S Naperville Rd Ste 103, Wheaton, IL 60189-5846 Ph: (630) 635-0577 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 |
Fallon Weatherspoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 |