| Miss Lidya Agustina Tandayu, MA | |
|
1595 Weld Rd Ste 9, Elgin, IL 60123-5896 | |
| (847) 707-2689 | |
| Not Available |
| Full Name | Miss Lidya Agustina Tandayu |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1595 Weld Rd Ste 9, Elgin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356136758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178019770 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lidya Agustina Tandayu, MA 6800 W Raven St Unit 410, Chicago, IL 60631-2529 Ph: (773) 695-9559 | Miss Lidya Agustina Tandayu, MA 1595 Weld Rd Ste 9, Elgin, IL 60123-5896 Ph: (847) 707-2689 |
Dr. Anthony Dillard Sr., NCRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Bode Rd, Elgin, IL 60120 Phone: 224-238-3279 Fax: 224-238-3279 | |
Melissa Horne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 | |
Bethany Ann Henrichs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 S State St, Elgin, IL 60123 Phone: 847-931-6200 | |
Eliza K Adams, MS Counselor Medicare: Medicare Enrolled Practice Location: 164 Division St Ste 202, Elgin, IL 60120 Phone: 224-431-8000 | |
Katrin Schlicht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 | |
Voichita Moldovan Moldovan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Division St Ste 607, Elgin, IL 60120 Phone: 847-217-9797 | |
Mr. Mark Allen Miller, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 Fax: 847-760-0856 |