| Erin Elizabeth Mattucci, LSW | |
|
125 Windsor Dr Ste 111, Oak Brook, IL 60523-4081 | |
| (630) 728-1744 | |
| Not Available |
| Full Name | Erin Elizabeth Mattucci |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 125 Windsor Dr Ste 111, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982296265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 150.104716 (Illinois) | Primary |
| Entity Name | Grace Integrated Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689026148 PECOS PAC ID: 7911272901 Enrollment ID: O20170929003475 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Elizabeth Mattucci, LSW 714 N Waiola Ave, La Grange Park, IL 60526-1450 Ph: (708) 352-6469 | Erin Elizabeth Mattucci, LSW 125 Windsor Dr Ste 111, Oak Brook, IL 60523-4081 Ph: (630) 728-1744 |
Jenna Marie Coca, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 Jorie Blvd, Oak Brook, IL 60523 Phone: 630-506-3906 | |
Paige Joanne Schuchmann, MA, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1000 Jorie Blvd Ste 228, Oak Brook, IL 60523 Phone: 630-912-7763 | |
Ms. Briana M Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Jorie Blvd Ste 280, Oak Brook, IL 60523 Phone: 630-326-3699 | |
Lisa M Stites, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2803 Butterfield Rd Ste 200, Oak Brook, IL 60523 Phone: 630-424-9204 | |
Ms. Mary Kathleen O'hara, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Butterfield Rd, Suite 103w, Oak Brook, IL 60523 Phone: 630-571-8784 | |
Lydia Schatzel, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 Phone: 888-562-5442 | |
Yvonne D. Anderson, LCSW, CADC, MISA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Butterfield Rd, Suite 101w, Oak Brook, IL 60523 Phone: 630-574-2010 |