| Ms Larcetta Linear, | |
|
20 Dogwood St, Park Forest, IL 60466-1821 | |
| (708) 747-2507 | |
| Not Available |
| Full Name | Ms Larcetta Linear |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 20 Dogwood St, Park Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659959559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.011430 (Illinois) | Primary |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Larcetta Linear, 20 Dogwood St, Park Forest, IL 60466-1821 Ph: (708) 747-2507 | Ms Larcetta Linear, 20 Dogwood St, Park Forest, IL 60466-1821 Ph: (708) 747-2507 |
Tianna A Hammond, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 Forest Blvd, Park Forest, IL 60466 Phone: 773-931-0217 | |
Kenyetta N. Broughton-floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Lester Rd, Park Forest, IL 60466 Phone: 312-238-9128 | |
Timothy Treadwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Main St, Park Forest, IL 60466 Phone: 312-870-0828 | |
Ruth A Bartman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 W Rocket Cir, Park Forest, IL 60466 Phone: 708-926-4128 | |
Carina Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl Apt 405, Park Forest, IL 60466 Phone: 708-910-8380 | |
Kimberly Sheena Williams, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466 Phone: 708-439-5181 | |
Tenisha Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Westwood Dr, Park Forest, IL 60466 Phone: 708-444-1012 |