| Mr Theodore Eric Vogel-wilson, | |
|
931 17th St, Rock Island, IL 61201-2724 | |
| (309) 558-4063 | |
| Not Available |
| Full Name | Mr Theodore Eric Vogel-wilson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 931 17th St, Rock Island, 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 |
|---|---|---|---|
| 1639693849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 107440 (Iowa) | Secondary |
| 101YP2500X | Counselor - Professional | 180015775 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Iowa Mental Health Center | 1355230475 | 6 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Theodore Eric Vogel-wilson, 931 17th St, Rock Island, IL 61201-2724 Ph: (309) 558-4063 | Mr Theodore Eric Vogel-wilson, 931 17th St, Rock Island, IL 61201-2724 Ph: (309) 558-4063 |
Amber Leanne Cozad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61254 Phone: 309-779-2031 | |
Cheyenne Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 3rd Ave, Rock Island, IL 61201 Phone: 309-779-2064 | |
Samantha Goman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 | |
Ibrahim K Tarawneh, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3006 | |
Rita Sterling, MCJ, CADC, CPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 19th St, Department Of Veterans Affairs, Ste. M2, Rock Island, IL 61201 Phone: 309-786-3591 Fax: 309-786-5135 | |
Brandon Alan Kutmas, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4709 44th St Ste 5, Rock Island, IL 61201 Phone: 309-306-1648 Fax: 309-213-9438 | |
Amber Michelle Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 |