| Andrew Scott Jack, MA | |
|
7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | |
| (630) 653-2300 | |
| (630) 653-2895 |
| Full Name | Andrew Scott Jack |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 7 Blanchard Cir Ste 201, Wheaton, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265864797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Alliance Clinical Associates SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144299769 PECOS PAC ID: 0143202572 Enrollment ID: O20040805000281 |
| Entity Name | Tartan Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740148873 PECOS PAC ID: 6103394531 Enrollment ID: O20260505000908 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Scott Jack, MA 1n002 Barry Ave, Wheaton, IL 60187-2920 Ph: (630) 779-0974 | Andrew Scott Jack, MA 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 Ph: (630) 653-2300 |
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 |