| Mary Garza, LPC | |
|
650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | |
| (815) 455-6000 | |
| Not Available |
| Full Name | Mary Garza |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 650 Dakota St Ste A, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336903350 | NPI | - | NPPES |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Garza, LPC 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 334-5018 | Mary Garza, LPC 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 |
Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517 | |
Jorge Roman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104 | |
Ms. Stacey A Coleman, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079 | |
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115 | |
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979 | |
Meghan Joshi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 314-308-2722 | |
Gabrielle Anne Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Coventry Ln Ste 103, Crystal Lake, IL 60014 Phone: 847-778-6992 |