| Eva Anderson, | |
|
6748 W 111th St, Worth, IL 60482-1912 | |
| (815) 274-0760 | |
| Not Available |
| Full Name | Eva Anderson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 6748 W 111th St, Worth, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740936061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178017273 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180015581 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Video Virtual Care North, Llc | 1254762297 | 15 |
| Entity Name | Minuteclinic Diagnostic of Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Minuteclinic Video Virtual Care North, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Anderson, 6748 W 111th St, Worth, IL 60482-1912 Ph: Not Available | Eva Anderson, 6748 W 111th St, Worth, IL 60482-1912 Ph: (815) 274-0760 |
Dimitra Iliopoulos, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11248 S Natoma Ave, Worth, IL 60482 Phone: 708-717-8105 |
Michele Lynn Nowak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 W 111th St, Worth, IL 60482 Phone: 708-299-3070 |
Alaa Abubaker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10825 S 71st Ct, Worth, IL 60482 Phone: 708-543-9257 |
Brittany Stevenson, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11601 S Nagle Ave, Worth, IL 60482 Phone: 708-921-4203 |
Islam Mizyed, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 W 111th St Ste 210, Worth, IL 60482 Phone: 708-599-2237 |
Ms. Han Ngoc Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11301 S Harlem Ave, Worth, IL 60482 Phone: 866-273-8060 |
Sana A Matarieh, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7059 W 111th St Unit B, Worth, IL 60482 Phone: 708-604-1112 Fax: 708-221-6430 |