| Brian Katz, LCPC, CADC | |
|
2200 S Main St, Lombard, IL 60148-5334 | |
| (630) 643-3181 | |
| Not Available |
| Full Name | Brian Katz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2200 S Main St, Lombard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699980870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.008192 (Illinois) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25848 (Illinois) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Katz, LCPC, CADC 71 Whispering Dr, Streamwood, IL 60107-2304 Ph: (630) 643-3181 | Brian Katz, LCPC, CADC 2200 S Main St, Lombard, IL 60148-5334 Ph: (630) 643-3181 |
Patricia D'ambrose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 E Jackson St, Lombard, IL 60148 Phone: 630-682-7400 | |
Mrs. Nancy Stamas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 E 22nd St, 302, Lombard, IL 60148 Phone: 630-495-2014 Fax: 630-495-2249 | |
Lora Lea Biesenkamp, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 W 22nd St Ste 101, Lombard, IL 60148 Phone: 630-882-2899 | |
Mr. Carl Roy Scianna, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 S Highland Ave Ste 2d, Lombard, IL 60148 Phone: 630-408-8108 | |
Vasiliki Ajazi, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 S Finley Rd, Lombard, IL 60148 Phone: 630-682-7400 | |
Dawn Marie Boettger Mudd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 E 22nd St, Suite 101, Lombard, IL 60148 Phone: 630-627-5000 Fax: 630-627-5032 | |
Emily Buckelew, MA, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 477 E Butterfield Rd Ste 212, Lombard, IL 60148 Phone: 630-866-5666 |