Nicole Szczepaniak, | |
19530 Kedzie Ave, Flossmoor, IL 60422-1778 | |
(708) 799-2200 | |
Not Available |
Full Name | Nicole Szczepaniak |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 19530 Kedzie Ave, Flossmoor, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396227443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Kenneth Young Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272 |
Mailing Address | Practice Location Address |
---|---|
Nicole Szczepaniak, 17746 Oak Park Ave, Tinley Park, IL 60477-3936 Ph: (708) 444-1012 | Nicole Szczepaniak, 19530 Kedzie Ave, Flossmoor, IL 60422-1778 Ph: (708) 799-2200 |
Juanita Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19530 Kedzie Ave, Flossmoor, IL 60422 Phone: 708-799-2200 | |
Cara Mcghee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 872-225-6010 | |
Lakeisha Kirby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19740 Governors Hwy, Ste 118, Flossmoor, IL 60422 Phone: 708-799-5569 Fax: 708-799-5618 | |
Chasity Ricker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19530 Kedzie Ave, Flossmoor, IL 60422 Phone: 708-799-2200 | |
Dr. Sabrina Washington, DHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 19624 Governors Hwy Ste 101, Flossmoor, IL 60422 Phone: 312-434-4640 | |
Maureen Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19530 Kedzie Ave, Flossmoor, IL 60422 Phone: 866-477-8632 | |
Latoya Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19530 Kedzie Ave, Flossmoor, IL 60422 Phone: 708-799-2200 |