| Lifecore Rehab And Counseling Services Sc | |
|
11536 183rd Pl Orland Park IL 60467-9493 | |
| (708) 960-4023 | |
| (708) 991-7275 |
| Full Name | Lifecore Rehab And Counseling Services Sc |
|---|---|
| Speciality | Counselor |
| Location | 11536 183rd Pl, Orland Park, Illinois |
| Authorized Official Name and Position | Asim Farooqi (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7083427076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecore Rehab And Counseling Services Sc 8051 186th St Tinley Park IL 60487-9341 Ph: (708) 342-7076 | Lifecore Rehab And Counseling Services Sc 11536 183rd Pl Orland Park IL 60467-9493 Ph: (708) 960-4023 |
| NPI Number | 1679819734 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Medicare PECOS PAC ID | 6800037771 |
|---|---|
| Medicare Enrollment ID | O20130719000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679819734 | NPI | - | NPPES |
| Provider Name | Johnny White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306149497 PECOS PAC ID: 9830186360 Enrollment ID: I20040427001556 |
| Provider Name | Deborah J Chiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881832905 PECOS PAC ID: 3274699715 Enrollment ID: I20090326000225 |
| Provider Name | Oliver M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861779795 PECOS PAC ID: 7012176548 Enrollment ID: I20120301000919 |
| Provider Name | Hope A Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508995804 PECOS PAC ID: 2860646072 Enrollment ID: I20130215000237 |
| Provider Name | Paul D Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053654756 PECOS PAC ID: 2163665019 Enrollment ID: I20130826000609 |
| Provider Name | Valerie Malone-pitts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457752826 PECOS PAC ID: 5890916563 Enrollment ID: I20141021002832 |
| Provider Name | Robin Leigh Zoeller Pullman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922497429 PECOS PAC ID: 0446530851 Enrollment ID: I20161130002193 |
| Provider Name | Stephen C Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073158200 PECOS PAC ID: 9234563339 Enrollment ID: I20191226000583 |
| Provider Name | Don Joseph Feeney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548485899 PECOS PAC ID: 7315325396 Enrollment ID: I20220602002895 |
| Provider Name | Christine C Chariton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194719435 PECOS PAC ID: 0345211942 Enrollment ID: I20240106000590 |
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