Lisa Raddatz, LCPC | |
214 Siwiha Dr, Grayslake, IL 60030-1444 | |
(970) 571-1952 | |
Not Available |
Full Name | Lisa Raddatz |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 214 Siwiha Dr, Grayslake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043570237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180010384 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 178007120 (Illinois) | Primary |
Entity Name | Arbor Counseling Center, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164479945 PECOS PAC ID: 4880698935 Enrollment ID: O20060905000210 |
Mailing Address | Practice Location Address |
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Lisa Raddatz, LCPC 214 Siwiha Dr, Grayslake, IL 60030-1444 Ph: (970) 571-1952 | Lisa Raddatz, LCPC 214 Siwiha Dr, Grayslake, IL 60030-1444 Ph: (970) 571-1952 |
Jacqueline Pearson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18640 W. Belvidere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-587-3100 | |
Emma A Macdougall, LCPC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Atkinson Rd, Grayslake, IL 60030 Phone: 847-441-5600 Fax: 847-441-7968 | |
Kathyrn Anne Burger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Grayslake, IL 60030 Phone: 847-549-2235 | |
Mr. Scott A. Ewart, LCPC, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18640 Belvedere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-548-6040 | |
Theresa Clanton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Lake St Ste 109, Grayslake, IL 60030 Phone: 847-986-4151 | |
Julie Anita Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Washington St Ste 101, Grayslake, IL 60030 Phone: 847-305-4954 |