| John Kamilis, LCPC | |
|
21587 W Birch St, Lake Villa, IL 60046-9544 | |
| (847) 212-5761 | |
| Not Available |
| Full Name | John Kamilis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 21587 W Birch St, Lake Villa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578587747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-004546 (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 |
|---|---|
| John Kamilis, LCPC 2944 Falling Waters Ln, Lindenhurst, IL 60046-6782 Ph: (847) 212-5761 | John Kamilis, LCPC 21587 W Birch St, Lake Villa, IL 60046-9544 Ph: (847) 212-5761 |
Ashley Perini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Patricia Cerenil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25480 W Cedar Crest Ln, Lake Villa, IL 60046 Phone: 847-356-8205 | |
Dr. Erick Alexeyev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 West Grand Avenue, Lake Villa, IL 60046 Phone: 847-245-6156 Fax: 847-356-2350 | |
Elizabeth Remedi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Emily Peters, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25480 W Cedar Crest Ln, Lake Villa, IL 60046 Phone: 847-356-8205 | |
Adam Robinson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Mrs. Susan R Magee, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34930 N Highway 45, Suite 101, Lake Villa, IL 60046 Phone: 847-826-1569 |