| Carl Edward Boyens, LCPC | |
|
224 N Industrial Drive, Bradley, IL 60915 | |
| (815) 933-0667 | |
| (815) 933-0665 |
| Full Name | Carl Edward Boyens |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 224 N Industrial Drive, Bradley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336231547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Entity Name | Rodasi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Edward Boyens, LCPC 224 N Industrial Drive, Bradley, IL 60915 Ph: (815) 933-0667 | Carl Edward Boyens, LCPC 224 N Industrial Drive, Bradley, IL 60915 Ph: (815) 933-0667 |
Karen Mcmillan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E North St Ste B, Bradley, IL 60915 Phone: 815-933-0667 | |
Holly Katherine Loving, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S Fulton Ave, Bradley, IL 60915 Phone: 815-216-8529 | |
Mrs. Aerielle Childers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E North St, Bradley, IL 60915 Phone: 815-933-0667 | |
Katelyn Christine Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 East North Street Ste B, Bradley, IL 60915 Phone: 888-870-1775 | |
Kim K Alberts, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Kennedy Dr, Suite 8, Bradley, IL 60915 Phone: 815-929-0099 Fax: 815-929-1284 | |
Donald Thaddeus Latocha, M.A. L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 E North St, Suite D, Bradley, IL 60915 Phone: 815-935-8133 |