| Mrs Rajashree Iyer, MS/LCPC/NCC | |
|
1820 N Sterling Ave, West Peoria, IL 61604-6433 | |
| (309) 212-3606 | |
| Not Available |
| Full Name | Mrs Rajashree Iyer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1820 N Sterling Ave, West Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942390653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180009106 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rajashree Iyer, MS/LCPC/NCC 107 Shannon Hills Dr, Washington, IL 61571-9463 Ph: (309) 745-3730 | Mrs Rajashree Iyer, MS/LCPC/NCC 1820 N Sterling Ave, West Peoria, IL 61604-6433 Ph: (309) 212-3606 |
Amy L Hansen, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2900 W Heading Ave, West Peoria, IL 61604 Phone: 309-636-7601 Fax: 309-671-0253 | |
Mr. Brian Sutter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 W Rohmann Ave, West Peoria, IL 61604 Phone: 309-671-0300 | |
Mrs. Jodi Schwindenhammer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 W Rohmann Ave, West Peoria, IL 61604 Phone: 309-671-0300 Fax: 309-671-0503 | |
Steven Loser, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 N Sterling Ave, West Peoria, IL 61604 Phone: 309-212-3606 | |
Andrea Desatnick, MA, NCC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 W Rohmann Ave, West Peoria, IL 61604 Phone: 309-671-0300 | |
Miss Kathryn Marie Bienemann, MA, NCC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1820 N Sterling Ave, West Peoria, IL 61604 Phone: 224-442-0450 | |
Ashley Hillman, Counselor Medicare: Medicare Enrolled Practice Location: 2223 W Heading Ave, West Peoria, IL 61604 Phone: 309-570-1800 |