| Regina Emily Weber, LCPC | |
|
30 S Westlawn Ave, Aurora, IL 60506-4620 | |
| (630) 488-9386 | |
| Not Available |
| Full Name | Regina Emily Weber |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 30 S Westlawn Ave, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114677606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.016072 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Emily Weber, LCPC 30 S Westlawn Ave, Aurora, IL 60506-4620 Ph: (630) 488-9386 | Regina Emily Weber, LCPC 30 S Westlawn Ave, Aurora, IL 60506-4620 Ph: (630) 488-9386 |
Ms. Cheryl Banasiak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4305 | |
Kiana Hickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1630 Plum St, Aurora, IL 60506 Phone: 630-966-4475 | |
Dina Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Mercy Ln, Aurora, IL 60506 Phone: 630-966-7400 | |
Ana Karen Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-906-7015 Fax: 630-801-2626 | |
Lasdavahn Ashley Vongphakdy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4331 | |
Rosa Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 New Indian Trail Ct, Aurora, IL 60506 Phone: 630-966-4301 | |
Shenna Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4000 |