| Elizabeth A Klicker-nicklay, LCPC | |
|
4707 N Broadway St Ste 205, Chicago, IL 60640-4963 | |
| (773) 236-7563 | |
| Not Available |
| Full Name | Elizabeth A Klicker-nicklay |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 4707 N Broadway St Ste 205, Chicago, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275066094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180010949 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Juniper Center Pc | 1557557725 | 26 |
| Entity Name | The Juniper Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Klicker-nicklay, LCPC 4707 N Broadway St Ste 205, Chicago, IL 60640-4963 Ph: (773) 236-7563 | Elizabeth A Klicker-nicklay, LCPC 4707 N Broadway St Ste 205, Chicago, IL 60640-4963 Ph: (773) 236-7563 |
Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656 | |
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794 | |
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457 | |
Michael N Wilson, Counselor Medicare: Medicare Enrolled Practice Location: 1340 S Damen Ave, Chicago, IL 60608 Phone: 312-738-5926 Fax: 312-666-6978 | |
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025 | |
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947 | |
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469 |