| Grace Integrated, Llc | |
|
125 Windsor Dr 111 Oak Brook IL 60523-1536 | |
| (630) 313-9741 | |
| (630) 998-7029 |
| Full Name | Grace Integrated, Llc |
|---|---|
| Speciality | Counselor |
| Location | 125 Windsor Dr, Oak Brook, Illinois |
| Authorized Official Name and Position | Julie Marie Mcdevitt (MEMBER) |
| Authorized Official Contact | 6303139741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Integrated, Llc 11027 Raleigh St Westchester IL 60154-4933 Ph: (630) 313-9741 | Grace Integrated, Llc 125 Windsor Dr 111 Oak Brook IL 60523-1536 Ph: (630) 313-9741 |
| NPI Number | 1689026148 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 7911272901 |
|---|---|
| Medicare Enrollment ID | O20170929003475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689026148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.008484 (Illinois) | Primary |
| Provider Name | Kathleen O Retzner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942519160 PECOS PAC ID: 3274715990 Enrollment ID: I20110316000543 |
| Provider Name | Sara Rose Shotsberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154662104 PECOS PAC ID: 0042593410 Enrollment ID: I20170208002699 |
| Provider Name | Luz Maria Macias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801379342 PECOS PAC ID: 6204179294 Enrollment ID: I20190514002755 |
| Provider Name | Shelley Stears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265086086 PECOS PAC ID: 4082041686 Enrollment ID: I20200220000872 |
| Provider Name | Veronica Casimer Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700394574 PECOS PAC ID: 3870914682 Enrollment ID: I20200603001969 |
| Provider Name | Camila Richmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730793597 PECOS PAC ID: 6901224807 Enrollment ID: I20200909001335 |
| Provider Name | Brianna Panka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508463969 PECOS PAC ID: 4587075908 Enrollment ID: I20201116001678 |
| Provider Name | Erin Elizabeth Mattucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982296265 PECOS PAC ID: 5991110074 Enrollment ID: I20210223002411 |
| Provider Name | Kim Ellen Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679180194 PECOS PAC ID: 7012305329 Enrollment ID: I20211019001392 |
| Provider Name | Alexandra Reich Hilburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306519244 PECOS PAC ID: 3779971783 Enrollment ID: I20211025001865 |
| Provider Name | Mariola Ferenc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083259857 PECOS PAC ID: 0345616223 Enrollment ID: I20221018000928 |
| Provider Name | Kristen Larem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831821297 PECOS PAC ID: 8022486331 Enrollment ID: I20221117001139 |
| Provider Name | Diana Lynn Glende |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396442158 PECOS PAC ID: 7416321138 Enrollment ID: I20230321000936 |
| Provider Name | Donna Jean Kozica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336667880 PECOS PAC ID: 6800241100 Enrollment ID: I20231005003090 |
| Provider Name | Jo Ellen Maurer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386128213 PECOS PAC ID: 9436509320 Enrollment ID: I20231218003931 |
| Provider Name | Joseph Sungkwang Chae |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548760416 PECOS PAC ID: 8729438692 Enrollment ID: I20231220001953 |
| Provider Name | Haile Ritchie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932793395 PECOS PAC ID: 5597115188 Enrollment ID: I20231222000112 |
| Provider Name | Kimberly Schmurr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700503422 PECOS PAC ID: 6406206002 Enrollment ID: I20231222000493 |
| Provider Name | Brittany Lynn Mangin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326652462 PECOS PAC ID: 2365892890 Enrollment ID: I20231227000213 |
| Provider Name | Shannon Zofkie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164009510 PECOS PAC ID: 3678923034 Enrollment ID: I20231227001565 |
| Provider Name | Anays Lilibeth Guzman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306497615 PECOS PAC ID: 5395195671 Enrollment ID: I20231228002637 |
| Provider Name | Gloria Maria Tovar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437824257 PECOS PAC ID: 5799135018 Enrollment ID: I20231229000133 |
| Provider Name | Bridget Bicek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205523222 PECOS PAC ID: 1153771308 Enrollment ID: I20231229001575 |
| Provider Name | Katherine Debre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588229108 PECOS PAC ID: 6305296575 Enrollment ID: I20231229002151 |
| Provider Name | Julie Pate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265100374 PECOS PAC ID: 6507216702 Enrollment ID: I20240101000186 |
| Provider Name | Hillary Hause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124668140 PECOS PAC ID: 2961852603 Enrollment ID: I20240104001420 |
| Provider Name | April Rose Difatta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639765357 PECOS PAC ID: 7214388594 Enrollment ID: I20240111000619 |
| Provider Name | Kyle Joseph Donnelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750078770 PECOS PAC ID: 3577914654 Enrollment ID: I20240112003508 |
| Provider Name | Emma Stuefen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669242640 PECOS PAC ID: 8426400201 Enrollment ID: I20240117002077 |
| Provider Name | Dorothy Anne Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477240497 PECOS PAC ID: 3870946163 Enrollment ID: I20240202002021 |
| Provider Name | Latasha Michelle Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891432035 PECOS PAC ID: 0143663468 Enrollment ID: I20240202003664 |
| Provider Name | Patrick David Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396458451 PECOS PAC ID: 1951744051 Enrollment ID: I20240206001481 |
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The Aiki Relationships Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Jorie Blvd, Suite 246, Oak Brook, IL 60523 Phone: 630-230-6358 Fax: 630-230-6359 | |
Spero Psychology Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Windsor Dr Ste 113, Oak Brook, IL 60523 Phone: 630-488-5982 | |
Insight Behavioral Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Jorie Blvd, Suite 200, Oak Brook, IL 60523 Phone: 312-540-9955 | |
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