| Tricity Family Services | |
|
1120 Randall Ct Geneva IL 60134-3911 | |
| (630) 232-1070 | |
| (630) 232-1471 |
| Full Name | Tricity Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 Randall Ct, Geneva, Illinois |
| Authorized Official Name and Position | Laura Poss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6302321070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricity Family Services 1120 Randall Ct Geneva IL 60134-3911 Ph: (630) 232-1070 | Tricity Family Services 1120 Randall Ct Geneva IL 60134-3911 Ph: (630) 232-1070 |
| NPI Number | 1598850778 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 7416946934 |
|---|---|
| Medicare Enrollment ID | O20040510001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598850778 | NPI | - | NPPES |
| 4515198 | Other | IL | BLUE CROSS BLUE SHIELD |
| Provider Name | Emma Ab Cabusao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417911744 PECOS PAC ID: 2769465376 Enrollment ID: I20040626000025 |
| Provider Name | Christine V Bruun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538478326 PECOS PAC ID: 5496919060 Enrollment ID: I20120611000571 |
| Provider Name | Dara M Karlov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629432299 PECOS PAC ID: 3971881384 Enrollment ID: I20161104000992 |
| Provider Name | Victoria A Wonak Bartkowiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437431731 PECOS PAC ID: 8527347194 Enrollment ID: I20161123000182 |
| Provider Name | Lynn Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801567474 PECOS PAC ID: 1850771585 Enrollment ID: I20220712000775 |
| Provider Name | Natasha L Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730426370 PECOS PAC ID: 3476992157 Enrollment ID: I20240415000561 |
| Provider Name | Patricia Bularzik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457807000 PECOS PAC ID: 1759829252 Enrollment ID: I20240815000714 |
| Provider Name | Jessica Atkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609447275 PECOS PAC ID: 4082140553 Enrollment ID: I20241206001613 |
| Provider Name | Madeline L Tomlinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184368201 PECOS PAC ID: 8123554698 Enrollment ID: I20241206001773 |
| Provider Name | Shannon Mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073355632 PECOS PAC ID: 0446786974 Enrollment ID: I20241209000186 |
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Tricity Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Randall Ct, Geneva, IL 60134 Phone: 630-232-1070 | |
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