| Jeffery Lange, LCPC | |
|
28 N 1st St Ste 201, Geneva, IL 60134-2285 | |
| (866) 586-6049 | |
| Not Available |
| Full Name | Jeffery Lange |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 28 N 1st St Ste 201, Geneva, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194876045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.017813 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Lange, LCPC 760 Carol Ave, Elgin, IL 60123-2618 Ph: Not Available | Jeffery Lange, LCPC 28 N 1st St Ste 201, Geneva, IL 60134-2285 Ph: (866) 586-6049 |
Mrs. Julie Louise Field, L.C.P.C. C.A.D.C. Counselor Medicare: May Accept Medicare Assignments Practice Location: 28 S 5th St, Geneva, IL 60134 Phone: 630-202-3610 |
Sharon Koltis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Randall Ct, Geneva, IL 60134 Phone: 630-232-1070 Fax: 630-232-1471 |
Gloria O'bannon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Randall Ct, Geneva, IL 60134 Phone: 630-232-1070 Fax: 630-232-1471 |
Tina M Walters, Counselor Medicare: May Accept Medicare Assignments Practice Location: 825 W State St Ste 103f, Geneva, IL 60134 Phone: 224-699-0603 |
Alysia Le Feeney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3498 Wild Prairie Ln, Geneva, IL 60134 Phone: 630-715-1622 Fax: 630-262-0996 |
Ashley Wilkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Randall Ct, Geneva, IL 60134 Phone: 630-232-1070 |
Susan Williams, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Hamilton St, Geneva, IL 60134 Phone: 877-443-7030 Fax: 630-208-0695 |