| Robert Wolter, | |
|
108 W Market St, Bloomington, IL 61701 | |
| (309) 827-5351 | |
| Not Available |
| Full Name | Robert Wolter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 108 W Market St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053796367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180011419 (Illinois) | Primary |
| Entity Name | Mclean County Center for Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245233493 PECOS PAC ID: 5991752784 Enrollment ID: O20050404000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wolter, 108 W Market St, Bloomington, IL 61701-3918 Ph: Not Available | Robert Wolter, 108 W Market St, Bloomington, IL 61701 Ph: (309) 827-5351 |
Carrie P Bussmann, LCPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 808 S Eldorado Rd Ste 400, Bloomington, IL 61704 Phone: 309-585-0241 |
Mr. Bryan James Hinman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 888-924-3786 |
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222 |
Victoria Fetter, Counselor Medicare: Accepting Medicare Assignments Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 Fax: 877-428-7891 |
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 |
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |
Bridget W Mwaura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |