| Miriam Rosales, MA | |
|
5341 W Cermak Rd Ste 201, Cicero, IL 60804-2892 | |
| (708) 656-6430 | |
| (708) 656-6591 |
| Full Name | Miriam Rosales |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 5341 W Cermak Rd Ste 201, Cicero, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013244334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 180-011364 (Illinois) | Primary |
| Entity Name | Family Service And Mental Health Center Of Cicero |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831119767 PECOS PAC ID: 6800827254 Enrollment ID: O20050825000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Rosales, MA 4851 N Keeler, Apt 1, Chicago, IL 60630 Ph: (773) 733-6588 | Miriam Rosales, MA 5341 W Cermak Rd Ste 201, Cicero, IL 60804-2892 Ph: (708) 656-6430 |
Jennifer Marie Fontana, CADC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5635 W Roosevelt Rd, Cicero, IL 60804 Phone: 708-652-6500 | |
Roxanna Chavez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Veronica G Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Ms. Corina Martinez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 Fax: 708-656-6591 | |
Bharati Dev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1849 S Cicero Ave, Cicero, IL 60804 Phone: 708-656-9500 | |
Magaly Del Valle, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5341 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-6430 |