| Mr Edward Groenendal, MA | |
|
475 W Terra Cotta Ave Ste B1, Crystal Lake, IL 60014-3407 | |
| (847) 899-8370 | |
| (815) 425-5980 |
| Full Name | Mr Edward Groenendal |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 475 W Terra Cotta Ave Ste B1, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629185475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004527 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Groenendal, MA 475 W Terra Cotta Ave Ste B1, Crystal Lake, IL 60014-3407 Ph: (847) 899-8370 | Mr Edward Groenendal, MA 475 W Terra Cotta Ave Ste B1, Crystal Lake, IL 60014-3407 Ph: (847) 899-8370 |
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 |