| Robin Zazove, | |
|
2171 W Executive Dr, Suite 450, Addison, IL 60101-5625 | |
| (224) 436-7392 | |
| Not Available |
| Full Name | Robin Zazove |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 2171 W Executive Dr, Addison, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154703403 | 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 |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Entity Name | Revolution Counseling And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295390094 PECOS PAC ID: 4789103987 Enrollment ID: O20250521000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Zazove, 1515 W Pheasant Trail Ln, Unit 6, Arlington Heights, IL 60004-7605 Ph: (224) 436-7392 | Robin Zazove, 2171 W Executive Dr, Suite 450, Addison, IL 60101-5625 Ph: (224) 436-7392 |
Amy Bossman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 S Ardmore Ave, Addison, IL 60101 Phone: 630-682-7400 | |
Byeol Shim, Counselor Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St Ste 301, Addison, IL 60101 Phone: 331-221-1650 Fax: 331-221-2710 | |
Tessa Helena Magnanimo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400 | |
John Schroeder, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3200 | |
Jaclyn Laporte, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Friendship Plz, Addison, IL 60101 Phone: 630-384-9733 | |
Kyle Alexander James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400 |