| Mr Frederick Douglas Quinn, LCPC, NCC, DAPA | |
|
540 W. Frontage Road, Suite 2115, Northfield, IL 60093-1291 | |
| (847) 337-7846 | |
| Not Available |
| Full Name | Mr Frederick Douglas Quinn |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 540 W. Frontage Road, Northfield, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760631808 | NPI | - | NPPES |
| 060-008928 | Other | IL | REGISTERED PROFESSIONAL SERVICE CORP. |
| 180-005700 | Other | IL | DEPT OF FIN AND PRO. REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-005700 (Illinois) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick Douglas Quinn, LCPC, NCC, DAPA 540 W Frontage Rd, Suite 2115, Northfield, IL 60093-1250 Ph: (847) 337-7846 | Mr Frederick Douglas Quinn, LCPC, NCC, DAPA 540 W. Frontage Road, Suite 2115, Northfield, IL 60093-1291 Ph: (847) 337-7846 |
Andrea J Burruss, Counselor Medicare: Medicare Enrolled Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jacqueline Swietochowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jennifer Stranski, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 Fax: 847-441-7968 | |
Ana Karen Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Elissah Fay Adkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 224-505-5364 | |
Jane Y Kim, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Samantha Sanecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 |