| Hardik Kotak, | |
|
707 Reba Pl Unit 1, Evanston, IL 60202-2616 | |
| (773) 827-6701 | |
| Not Available |
| Full Name | Hardik Kotak |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 707 Reba Pl Unit 1, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568124568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Jewish Child and Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427018209 PECOS PAC ID: 8628108933 Enrollment ID: O20100614000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Hardik Kotak, 707 Reba Pl Unit 1, Evanston, IL 60202-2616 Ph: (773) 827-6701 | Hardik Kotak, 707 Reba Pl Unit 1, Evanston, IL 60202-2616 Ph: (773) 827-6701 |
Anneliese Michelle Kranz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Church Street, Evanston, IL 60201 Phone: 717-385-9214 |
Cara Eliana Fisher Wellvang, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1702 Sherman Ave, Evanston, IL 60201 Phone: 847-425-9708 |
Melissa Chavez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Ridge Ave, Evanston, IL 60201 Phone: 847-866-2977 |
Margot Torossian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Church St, Evanston, IL 60201 Phone: 847-919-9096 Fax: 847-919-9096 |
Luke Maxwell Drenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Austin St., West Tower, Suite 312, Evanston, IL 60202 Phone: 812-406-7735 |
Mrs. Eileen H Glenn, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Church St Ste 247, Evanston, IL 60201 Phone: 847-733-9661 Fax: 847-733-1571 |
Ms. Susan G Rowe, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 Sherman Ave, Suite 303, Evanston, IL 60201 Phone: 847-542-2300 |