| Sharronne Ward, LCPC | |
|
450 W 14th St, Chicago Heights, IL 60411-2463 | |
| (708) 503-9670 | |
| Not Available |
| Full Name | Sharronne Ward |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 450 W 14th St, Chicago Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902123516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180002302 (Illinois) | Primary |
| Entity Name | Grand Prairie Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346304979 PECOS PAC ID: 7517876691 Enrollment ID: O20041116000208 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharronne Ward, LCPC 450 W 14th Street, Chicago Heights, IL 60411 Ph: (708) 503-9670 | Sharronne Ward, LCPC 450 W 14th St, Chicago Heights, IL 60411-2463 Ph: (708) 503-9670 |
Deana Laster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1236 Ashland Ave, Chicago Heights, IL 60411 Phone: 708-444-1012 | |
Renada Howard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 8th St, Chicago Heights, IL 60411 Phone: 910-850-8198 | |
Frida Asongwe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-444-1012 | |
Jordan Deyoung, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 Fax: 708-503-1218 | |
Robbie N Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Lincoln Hwy, Chicago Heights, IL 60411 Phone: 708-351-9237 | |
Timothy Moore, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 | |
Diane Franzen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 |