| Ms Ryanne R Bright, LCPC, CADC | |
|
900 N Shore Dr Ste 120, Lake Bluff, IL 60044-2225 | |
| (847) 615-1698 | |
| (847) 615-1697 |
| Full Name | Ms Ryanne R Bright |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 900 N Shore Dr Ste 120, Lake Bluff, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124213574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.006842 (Illinois) | Primary |
| Entity Name | Chicago Integrative Center For Psychology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649785486 PECOS PAC ID: 6800288754 Enrollment ID: O20220126002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ryanne R Bright, LCPC, CADC 900 N Shore Dr Ste 120, Lake Bluff, IL 60044-2225 Ph: (847) 615-1698 | Ms Ryanne R Bright, LCPC, CADC 900 N Shore Dr Ste 120, Lake Bluff, IL 60044-2225 Ph: (847) 615-1698 |
Mrs. Hope Mozo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346 | |
Dr. Luis San Roman, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346 | |
Luther Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd, Suite 204, Lake Bluff, IL 60044 Phone: 224-544-9167 | |
Jennifer Calliss, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 N Skokie Hwy, Suite 203, Lake Bluff, IL 60044 Phone: 847-800-1167 Fax: 847-295-6176 | |
Kysa R Epstein, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 900 North Shore Dr Ste 120, Lake Bluff, IL 60044 Phone: 847-615-1698 Fax: 847-615-1697 | |
Michael T Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346 |