| Andrea J Burruss, | |
|
405 Central Ave, Northfield, IL 60093-3006 | |
| (847) 441-5600 | |
| Not Available |
| Full Name | Andrea J Burruss |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 405 Central Ave, Northfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003531443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.010196 (Illinois) | Primary |
| Entity Name | The Josselyn Center Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548640 PECOS PAC ID: 0840289740 Enrollment ID: O20050525000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea J Burruss, 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 | Andrea J Burruss, 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 |
Jacqueline Swietochowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jennifer Stranski, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 Fax: 847-441-7968 | |
Ana Karen Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Elissah Fay Adkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 224-505-5364 | |
Jane Y Kim, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Samantha Sanecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 |