| Mr Robert Emmett Davies Iii, | |
|
6918 W Windsor Ave, Berwyn, IL 60402-3334 | |
| (708) 745-5277 | |
| Not Available |
| Full Name | Mr Robert Emmett Davies Iii |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 6918 W Windsor Ave, Berwyn, 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 |
|---|---|---|---|
| 1932621489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Counseling Partners Llc | 0749605830 | 9 |
| Entity Name | Innovative Counseling Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437563798 PECOS PAC ID: 0749605830 Enrollment ID: O20200806001773 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Emmett Davies Iii, 6918 W Windsor Ave, Berwyn, IL 60402-3334 Ph: (708) 745-5277 | Mr Robert Emmett Davies Iii, 6918 W Windsor Ave, Berwyn, IL 60402-3334 Ph: (708) 745-5277 |
Ms. Lizette Reyes Reveles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Christina M King, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6415 Stanley, Berwyn, IL 60402 Phone: 708-788-0511 Fax: 708-788-0831 | |
Ms. Julie Durkalec, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Mr. Philip Jean Tomas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834 | |
Margaret Espinoza, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Hannah Doggett, MA, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Antoinette Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-995-3720 |