| Ricardo Ernesto Sotres Mirazo, LCPC | |
|
405 Central Ave, Northfield, IL 60093-3006 | |
| (847) 441-5600 | |
| Not Available |
| Full Name | Ricardo Ernesto Sotres Mirazo |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 405 Central Ave, Northfield, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245011212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Josselyn Center Nfp | 0840289740 | 64 |
| Entity Name | The Josselyn Center Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548640 PECOS PAC ID: 0840289740 Enrollment ID: O20050525000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Ernesto Sotres Mirazo, LCPC 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 | Ricardo Ernesto Sotres Mirazo, LCPC 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 |
Andrea J Burruss, Counselor Medicare: Medicare Enrolled Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jacqueline Swietochowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jennifer Stranski, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 Fax: 847-441-7968 | |
Ana Karen Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Elissah Fay Adkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 224-505-5364 | |
Jane Y Kim, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Samantha Sanecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 |