| Deborah A Mach, | |
|
621 Rollingwood Dr, Shorewood, IL 60404-0665 | |
| (708) 517-0320 | |
| (815) 725-7550 |
| Full Name | Deborah A Mach |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 621 Rollingwood Dr, Shorewood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558978189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.015442 (Illinois) | Primary |
| Entity Name | Chicago Christian Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664510 PECOS PAC ID: 1052395258 Enrollment ID: O20040615001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A Mach, 350 E Washington St, Joliet, IL 60433-1150 Ph: (815) 725-5188 | Deborah A Mach, 621 Rollingwood Dr, Shorewood, IL 60404-0665 Ph: (708) 517-0320 |
Mrs. Kristi Linke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Rollingwood Dr, Shorewood, IL 60404 Phone: 815-725-5188 Fax: 815-725-7550 | |
Kristen Mahar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Rollingwood Dr, Shorewood, IL 60404 Phone: 815-725-5188 Fax: 815-725-7550 | |
Mr. Kenneth Lamarr Osborne, CRADC, NCAC 1, ICAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21037 Coventry Cir, Shorewood, IL 60404 Phone: 708-527-4282 | |
Mr. Patrick L Tinken, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Country Dr, Shorewood, IL 60404 Phone: 815-730-7571 | |
Cecelia Mary Vanover, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Shady Ln, Shorewood, IL 60431 Phone: 815-741-1487 Fax: 815-741-1487 | |
Alyssa K Wilderman, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Jefferson St Ste 201, Shorewood, IL 60404 Phone: 630-243-4396 | |
Ariana Hope Baaske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Northgate Ln, Shorewood, IL 60404 Phone: 815-302-7584 |