| Sarah Jean Mulligan, LCPC | |
|
3329 75th St, Woodridge, IL 60517-2700 | |
| (306) 305-5141 | |
| Not Available |
| Full Name | Sarah Jean Mulligan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3329 75th St, Woodridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578822458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011124 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 180.013654 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Jean Mulligan, LCPC 3329 75th St, Woodridge, IL 60517-2700 Ph: (630) 964-9400 | Sarah Jean Mulligan, LCPC 3329 75th St, Woodridge, IL 60517-2700 Ph: (306) 305-5141 |
Lynsey Lattyak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3329 75th St., 2nd Fl., Woodridge, IL 60517 Phone: 630-964-9400 Fax: 630-964-9375 | |
Tanya Coloka, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7654 Woodview Dr, Woodridge, IL 60517 Phone: 708-932-3319 | |
Abrea Ramadan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Hobson Rd, Woodridge, IL 60517 Phone: 630-506-1491 | |
Anna Leigh Lezon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6520 Double Eagle Dr Unit 420, Woodridge, IL 60517 Phone: 815-341-3730 | |
Juliana Ferrusquia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3540 Seven Bridges Dr, Woodridge, IL 60517 Phone: 708-232-8550 | |
Jennifer Ann Horton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3329 75th Street, Suite 200, Woodridge, IL 60517 Phone: 630-305-5118 | |
Brandon Clinton, Counselor Medicare: May Accept Medicare Assignments Practice Location: 7425 Janes Ave Ste 205, Woodridge, IL 60517 Phone: 217-850-1133 Fax: 617-807-0958 |