Nicholas Spiros Sourbis, | |
1023 Burlington Ave, Western Springs, IL 60558-1516 | |
(708) 745-5277 | |
(708) 784-9451 |
Full Name | Nicholas Spiros Sourbis |
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Gender | Male |
Speciality | Counselor |
Location | 1023 Burlington Ave, Western Springs, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942660949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Rodasi Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Spiros Sourbis, 1023 Burlington Ave, Western Springs, IL 60558-1516 Ph: (708) 745-5277 | Nicholas Spiros Sourbis, 1023 Burlington Ave, Western Springs, IL 60558-1516 Ph: (708) 745-5277 |
Kimberly Stephens, B.S.W., M.A.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-995-3771 Fax: 708-995-3769 | |
Monica Williams, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 55th St Ste 202, Western Springs, IL 60558 Phone: 312-809-0523 | |
Ashley Bey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-745-5277 | |
Gregory Aguilar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-354-0826 | |
Jarethia Falkner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-784-9451 | |
Mrs. Sandra Armendariz, Counselor Medicare: Medicare Enrolled Practice Location: 4471 Lawn Ave, Western Springs, IL 60558 Phone: 708-416-6553 Fax: 888-428-7890 | |
Cynthia Carver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-745-5277 |