| Mr Mark Anthony Maciuszek, MA LCPC | |
|
7424 Archer Rd, Summit, IL 60501 | |
| (708) 458-8228 | |
| (708) 458-9177 |
| Full Name | Mr Mark Anthony Maciuszek |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 7424 Archer Rd, Summit, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508931163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Entity Name | County Of Dupage Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134110786 PECOS PAC ID: 4981695103 Enrollment ID: O20040518001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Anthony Maciuszek, MA LCPC 1437 Morgan Avenue, Lagrange Park, IL 60526 Ph: (708) 354-2833 | Mr Mark Anthony Maciuszek, MA LCPC 7424 Archer Rd, Summit, IL 60501 Ph: (708) 458-8228 |
Ms. Carolyn M Para, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Avenue, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
James E Delgenio, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 | |
Anthony Rio, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-995-3785 Fax: 708-458-9177 | |
Gina Aalders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 W Archer Ave, Summit, IL 60501 Phone: 708-995-3724 | |
Mr. Mike Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-745-5277 Fax: 708-458-9177 | |
Annemarie Luperini, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7420 Archer Ave, Summit, IL 60501 Phone: 708-458-4515 Fax: 708-458-9177 |