| Azra Husain, MA | |
|
6918 W Windsor Ave, Berwyn, IL 60402-3334 | |
| (708) 745-5277 | |
| Not Available |
| Full Name | Azra Husain |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6918 W Windsor Ave, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922457134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.012563 (Illinois) | Primary |
| Entity Name | Richard Kneip PhD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Azra Husain, MA 5220 East Ave, Countryside, IL 60525-3133 Ph: (708) 995-3595 | Azra Husain, MA 6918 W Windsor Ave, Berwyn, IL 60402-3334 Ph: (708) 745-5277 |
Ms. Lizette Reyes Reveles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 |
Alison M. Abraham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1627 Wenonah Ave, Berwyn, IL 60402 Phone: 815-600-3612 |
Christina M King, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6415 Stanley, Berwyn, IL 60402 Phone: 708-788-0511 Fax: 708-788-0831 |
Ms. Julie Durkalec, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 |
Mr. Philip Jean Tomas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834 |
Margaret Espinoza, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 |
Hannah Doggett, MA, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 |