| Magen Lutz, | |
|
8311 Roosevelt Rd, Forest Park, IL 60130-2529 | |
| (708) 771-7000 | |
| Not Available |
| Full Name | Magen Lutz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8311 Roosevelt Rd, Forest Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134657240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Magen Lutz, 1321 N Raynor Ave Apt 1n, Joliet, IL 60435-4105 Ph: (815) 674-4779 | Magen Lutz, 8311 Roosevelt Rd, Forest Park, IL 60130-2529 Ph: (708) 771-7000 |
Sareena Green, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7336 Randolph St Apt 2, Forest Park, IL 60130 Phone: 708-860-0240 | |
Lauren Elizabeth Barry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7227 Madison St, Forest Park, IL 60130 Phone: 708-732-3371 | |
Meeae King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7621 Roosevelt Rd, Forest Park, IL 60130 Phone: 773-234-0423 | |
Chantal Diprima, LCPC, ATR-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000 | |
Cassie Rose Yoder, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7227 Madison St, Forest Park, IL 60130 Phone: 308-340-6061 | |
Amanda Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-209-2291 |