| Mr Gregory A Rodriguez, LCPC | |
|
12410 S Van Dyke Rd, Plainfield, IL 60585-2520 | |
| (800) 361-6880 | |
| (708) 845-5505 |
| Full Name | Mr Gregory A Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 12410 S Van Dyke Rd, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811021264 | NPI | - | NPPES |
| 09932036 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.007632 (Illinois) | Primary |
| Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory A Rodriguez, LCPC 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 Ph: (708) 845-5500 | Mr Gregory A Rodriguez, LCPC 12410 S Van Dyke Rd, Plainfield, IL 60585-2520 Ph: (800) 361-6880 |
Mr. Nicholas Joseph Smith, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, Suite 100, Plainfield, IL 60544 Phone: 815-577-8970 | |
Dr. Byron Waller, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12653 S Potomac Dr, Plainfield, IL 60585 Phone: 312-218-8483 | |
Mrs. Roseann Murray, MA, LCPC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 15025 S Des Plaines St, Plainfield, IL 60544 Phone: 888-428-7890 Fax: 888-428-7891 | |
Samantha Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, #100, Plainfield, IL 60544 Phone: 815-577-8970 | |
Mr. Scott D Hendrickson, L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 13300 S Route 59 Ste B4, Plainfield, IL 60585 Phone: 815-577-8970 Fax: 815-577-8988 | |
Ms. Erin M Schicht, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15201 S Route 59, Plainfield, IL 60544 Phone: 815-514-8935 | |
Faith Kumar, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Norwalk Ct, Plainfield, IL 60586 Phone: 773-627-3009 |