| Mr Paul Martin, LCPC | |
|
1414 Main St, Melrose Park, IL 60160 | |
| (708) 786-8527 | |
| Not Available |
| Full Name | Mr Paul Martin |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 1414 Main St, Melrose Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700156171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fareha N. Malik, M.d. Llc | 5193863587 | 12 |
| Entity Name | Fareha N. Malik, M.d. Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528195013 PECOS PAC ID: 5193863587 Enrollment ID: O20091104000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Martin, LCPC 3701 Doty Rd, Woodstock, IL 60098-7509 Ph: (815) 338-6600 | Mr Paul Martin, LCPC 1414 Main St, Melrose Park, IL 60160 Ph: (708) 786-8527 |
Mr. Jason Peter Schallack, MFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Richard O Sodeinde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Joanna Giordano, MA, LPC, QMHP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Michelle Lagrimas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357 | |
Douglas William Barge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-786-8546 | |
Natalie Jinete, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Ms. Agnieszka Alina Wysocka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4419 W North Ave, Melrose Park, IL 60160 Phone: 773-777-7112 Fax: 708-547-7732 |