| Ms Amy Medlin, LCPC | |
| 
					24600 W 127th St Ste B340, Plainfield, IL 60585-9517  | |
| (815) 731-9110 | |
| Not Available | 
| Full Name | Ms Amy Medlin | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 24600 W 127th St Ste B340, Plainfield, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154721579 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180010200 (Illinois) | Secondary | 
| 101YP2500X | Counselor - Professional | 180010200 (Illinois) | Primary | 
| Entity Name | Endeavor Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Amy Medlin, LCPC 24600 W 127th St Ste B340, Plainfield, IL 60585-9517 Ph: (815) 731-9110  | Ms Amy Medlin, LCPC 24600 W 127th St Ste B340, Plainfield, IL 60585-9517 Ph: (815) 731-9110  | 
Mr. Nicholas Joseph Smith, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, Suite 100, Plainfield, IL 60544 Phone: 815-577-8970  | |
Dr. Byron Waller, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12653 S Potomac Dr, Plainfield, IL 60585 Phone: 312-218-8483  | |
Mrs. Roseann Murray, MA, LCPC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 15025 S Des Plaines St, Plainfield, IL 60544 Phone: 888-428-7890 Fax: 888-428-7891  | |
Samantha Hicks,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, #100, Plainfield, IL 60544 Phone: 815-577-8970  | |
Mr. Scott D Hendrickson, L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 13300 S Route 59 Ste B4, Plainfield, IL 60585 Phone: 815-577-8970 Fax: 815-577-8988  | |
Ms. Erin M Schicht, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15201 S Route 59, Plainfield, IL 60544 Phone: 815-514-8935  | |
Faith Kumar, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Norwalk Ct, Plainfield, IL 60586 Phone: 773-627-3009  |