| Mr Mark J Maluga, LCPC | |
|
1440 Renaissance Dr, Suite 320, Park Ridge, IL 60068-1356 | |
| (847) 759-9110 | |
| Not Available |
| Full Name | Mr Mark J Maluga |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1440 Renaissance Dr, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518077395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180004149 (Illinois) | Primary |
| Entity Name | The Juniper Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark J Maluga, LCPC 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 | Mr Mark J Maluga, LCPC 1440 Renaissance Dr, Suite 320, Park Ridge, IL 60068-1356 Ph: (847) 759-9110 |
Nicole C Potoski, LCPC CADC CODP I Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 888-428-7890 | |
Ms. Nickoleta Merkouris, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 Fax: 224-985-2119 | |
Anita Groll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Suite 111-g, Park Ridge, IL 60068 Phone: 708-925-3540 | |
Mark Talaga, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068 Phone: 312-624-9815 | |
Alexandra Therese Raske, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Park Ridge, IL 60068 Phone: 847-299-3400 | |
Nicole Varvarezos, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 | |
Tomasz Jurczak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 224-985-5824 |