| Sandra Patricia Dunn, MS ED, LCPC | |
| 
					2124 Ogden Ave Ste 301, Aurora, IL 60504-7542  | |
| (630) 392-4717 | |
| Not Available | 
| Full Name | Sandra Patricia Dunn | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 2124 Ogden Ave Ste 301, 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 | 
|---|---|---|---|
| 1649800244 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180015665 (Illinois) | Primary | 
| 101YP2500X | Counselor - Professional | 180.015665 (Illinois) | Secondary | 
| 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 | 
|---|---|
| Sandra Patricia Dunn, MS ED, LCPC 6s331 4th St, Eola, IL 60519-2003 Ph: (630) 392-4714  | Sandra Patricia Dunn, MS ED, LCPC 2124 Ogden Ave Ste 301, Aurora, IL 60504-7542 Ph: (630) 392-4717  | 
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  |