Christopher Dominguez, LICENSED SOCIAL WORK | |
8 Salt Creek Ln Ste 201, Hinsdale, IL 60521-2903 | |
(331) 221-2501 | |
Not Available |
Full Name | Christopher Dominguez |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 8 Salt Creek Ln Ste 201, Hinsdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831803444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 150.104881 (Illinois) | Primary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
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Christopher Dominguez, LICENSED SOCIAL WORK 2747 S Avers Ave, Chicago, IL 60623-4510 Ph: (708) 336-9208 | Christopher Dominguez, LICENSED SOCIAL WORK 8 Salt Creek Ln Ste 201, Hinsdale, IL 60521-2903 Ph: (331) 221-2501 |
David England Weaver Iii, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N York Rd, Suite 107, Hinsdale, IL 60521 Phone: 630-986-5403 Fax: 630-986-0815 | |
Cheryl Lynn Welsh, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Ogden Ave Ste 106, Hinsdale, IL 60521 Phone: 855-543-7687 | |
Megan Marie Rivera, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S Vine St, Hinsdale, IL 60521 Phone: 630-563-0044 | |
Bryan Silver, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 E Ogden Ave, Suite 220, Hinsdale, IL 60521 Phone: 630-325-5300 | |
Amanda Scanlon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 Chestnut St, Suite 2d, Hinsdale, IL 60521 Phone: 630-321-1073 Fax: 630-214-0476 | |
Robert Edward Prohaska, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 N Elm St Ste 316, Hinsdale, IL 60521 Phone: 163-065-5040 | |
Leigh Reisberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 W Chestnut St Ste 2d, Hinsdale, IL 60521 Phone: 630-321-1073 |