| Counseling And Diagnostic Center Of Woodfield, Ltd. | |
|
1325 Wiley Road Suite 165 Schaumburg IL 60173 | |
| (847) 884-0210 | |
| (847) 884-7349 |
| Full Name | Counseling And Diagnostic Center Of Woodfield, Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 1325 Wiley Road, Schaumburg, Illinois |
| Authorized Official Name and Position | David R. Jezl (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8478840210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Diagnostic Center Of Woodfield, Ltd. 1325 Wiley Road Suite 165 Schaumburg IL 60173 Ph: (847) 884-0210 | Counseling And Diagnostic Center Of Woodfield, Ltd. 1325 Wiley Road Suite 165 Schaumburg IL 60173 Ph: (847) 884-0210 |
| NPI Number | 1821151135 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 8729094800 |
|---|---|
| Medicare Enrollment ID | O20060227000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151135 | NPI | - | NPPES |
| Provider Name | Laura A Monti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730242439 PECOS PAC ID: 7012935588 Enrollment ID: I20051103000767 |
| Provider Name | David R Jezl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053474999 PECOS PAC ID: 0446266522 Enrollment ID: I20060301000375 |
| Provider Name | Antonina Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922255561 PECOS PAC ID: 0345300067 Enrollment ID: I20081125000218 |
| Provider Name | Mirna E Ballestas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942427521 PECOS PAC ID: 3678628328 Enrollment ID: I20090901000306 |
| Provider Name | Rachel Amodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819219 PECOS PAC ID: 7113396441 Enrollment ID: I20221208002225 |
| Provider Name | Emily A Hackney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265804736 PECOS PAC ID: 4385175918 Enrollment ID: I20241007001222 |
| Provider Name | Antonio E Hernandez-silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073371951 PECOS PAC ID: 3375078017 Enrollment ID: I20241119000886 |
| Provider Name | Monica Zabinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255050266 PECOS PAC ID: 6800314899 Enrollment ID: I20250513003792 |
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