| Mr Harry Lee Speer, NCC | |
|
2079 Madison Ave, Gurnee, IL 60031-6300 | |
| (331) 425-2573 | |
| Not Available |
| Full Name | Mr Harry Lee Speer |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 2079 Madison Ave, Gurnee, 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 |
|---|---|---|---|
| 1023516010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180018347 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Harry Lee Speer, NCC 2079 Madison Ave, Gurnee, IL 60031-6300 Ph: (331) 425-2573 | Mr Harry Lee Speer, NCC 2079 Madison Ave, Gurnee, IL 60031-6300 Ph: (331) 425-2573 |
Kelsey E Legagneur, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 321-889-2360 |
Kayla Ramos, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 312-684-0692 |
Mrs. Nanci Janine Edgcomb, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Yorktown Lane, Gurnee, IL 60031 Phone: 847-244-0701 Fax: 847-623-7231 |
Blanche W Murphy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17637 W Julie Ln, Gurnee, IL 60031 Phone: 224-369-6966 |
Ms. Victoria G Pugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 618-288-1133 |
Ana Alicia Maroon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 116, Gurnee, IL 60031 Phone: 847-245-6544 |
Kerry Stokes, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr, Gurnee, IL 60031 Phone: 847-204-4728 |