| Ms Jennifer Marie Taylor, MA, LCPC, SEP | |
|
800 Roosevelt Rd Ste Bldgb, Glen Ellyn, IL 60137-5839 | |
| (630) 866-3600 | |
| Not Available |
| Full Name | Ms Jennifer Marie Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 800 Roosevelt Rd Ste Bldgb, Glen Ellyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194870139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-003362 (Illinois) | Primary |
| Entity Name | Life Care Wellness, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952767733 PECOS PAC ID: 2860791449 Enrollment ID: O20160503001964 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Marie Taylor, MA, LCPC, SEP 6650 N Andrews Ave, Fort Lauderdale, FL 33309-2134 Ph: (630) 417-9679 | Ms Jennifer Marie Taylor, MA, LCPC, SEP 800 Roosevelt Rd Ste Bldgb, Glen Ellyn, IL 60137-5839 Ph: (630) 866-3600 |
Michelle J Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Anthony St, Glen Ellyn, IL 60137 Phone: 877-506-2674 | |
Jennifer K Paterakis, M.S L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste A, Glen Ellyn, IL 60137 Phone: 630-858-1075 Fax: 630-790-9984 | |
Ms. Carole S. Logalbo, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 493 Forest Ave, Glen Ellyn, IL 60137 Phone: 630-469-1555 | |
Abia Hashmi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Ste 220, Glen Ellyn, IL 60137 Phone: 630-239-1784 Fax: 630-216-4818 | |
Diana Dimeo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Glen Ellyn, IL 60137 Phone: 708-769-1509 | |
Karine Ivy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste C, Glen Ellyn, IL 60137 Phone: 630-220-6919 | |
Noelle Dragon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Pennsylvania Ave Ste 201, Glen Ellyn, IL 60137 Phone: 630-410-9578 |