| Margo Roethlisberger, | |
|
3330 W 177th St Ste 1f, Hazel Crest, IL 60429-2186 | |
| (708) 745-3040 | |
| Not Available |
| Full Name | Margo Roethlisberger |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 32 Years |
| Location | 3330 W 177th St Ste 1f, Hazel Crest, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194294413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180002364 (Illinois) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Family And Community Resources Pc | 0345381018 | 10 |
| Entity Name | Midwest Family and Community Resources PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770818064 PECOS PAC ID: 0345381018 Enrollment ID: O20100104000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Margo Roethlisberger, 98 Chelsea Ave, Sugar Grove, IL 60554-5407 Ph: (217) 737-2962 | Margo Roethlisberger, 3330 W 177th St Ste 1f, Hazel Crest, IL 60429-2186 Ph: (708) 745-3040 |
Cara Catlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Cheker Sq, Hazel Crest, IL 60429 Phone: 708-331-0500 |
Mr. Sebastion A Williams, M.S.ED., LCPC, CCM Counselor Medicare: Not Enrolled in Medicare Practice Location: P.o. Box 212, Hazel Crest, IL 60429 Phone: 708-252-8228 Fax: 312-829-0710 |
Jack Lamont Solomon Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 17055 Jodave Ave, Hazel Crest, IL 60429 Phone: 773-269-0691 |
Divine Braboy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3704 Briar Ln, Hazel Crest, IL 60429 Phone: 773-563-7670 |
Mrs. Lisa Michelle Steward-baugh, LSW, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Montmarte Ave, Hazel Crest, IL 60429 Phone: 708-439-9788 |
Dr. Bonita Husband, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 E Carriageway Dr # 503, Hazel Crest, IL 60429 Phone: 773-383-7907 |
Shirley Jean Hightower, CADC, MISA Counselor Medicare: Not Enrolled in Medicare Practice Location: 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429 Phone: 708-335-1155 Fax: 708-335-1171 |