| Trilogy Inc. | |
|
7474 N Paulina St Chicago IL 60626 | |
| (773) 508-6100 | |
| Not Available |
| Full Name | Trilogy Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7474 N Paulina St, Chicago, Illinois |
| Authorized Official Name and Position | Richard Adelman (CFO) |
| Authorized Official Contact | 7735086100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trilogy Inc. 1400 W Greenleaf Ave Chicago IL 60626-2805 | Trilogy Inc. 7474 N Paulina St Chicago IL 60626 Ph: (773) 508-6100 |
| NPI Number | 1134617236 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 5496856569 |
|---|---|
| Medicare Enrollment ID | O20070720000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134617236 | NPI | - | NPPES |
| Provider Name | Pamela F Maness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467748723 PECOS PAC ID: 0840465712 Enrollment ID: I20111206000094 |
| Provider Name | Nadine Y Wengroff |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700024767 PECOS PAC ID: 5799042503 Enrollment ID: I20171204002038 |
| Provider Name | Sarah Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154711307 PECOS PAC ID: 1850654385 Enrollment ID: I20180417000141 |
| Provider Name | Jessica Simeone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568909760 PECOS PAC ID: 8123304573 Enrollment ID: I20180612002862 |
| Provider Name | Margaret Ewald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457853319 PECOS PAC ID: 7719222066 Enrollment ID: I20181214002051 |
| Provider Name | Tamara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164883864 PECOS PAC ID: 6204267578 Enrollment ID: I20200521000310 |
| Provider Name | Thomas Thurlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153573 PECOS PAC ID: 8123457959 Enrollment ID: I20200609001453 |
| Provider Name | Daniel Stewart Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306049358 PECOS PAC ID: 2961536222 Enrollment ID: I20200804003627 |
| Provider Name | Caroline R Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467816496 PECOS PAC ID: 5092002873 Enrollment ID: I20200929001429 |
| Provider Name | Lauren R Feld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336542109 PECOS PAC ID: 8527478478 Enrollment ID: I20201103002694 |
| Provider Name | Javon Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942963632 PECOS PAC ID: 0941698989 Enrollment ID: I20211025002815 |
| Provider Name | Lavoris Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336858687 PECOS PAC ID: 1052845229 Enrollment ID: I20241111001423 |
| Provider Name | Morgan Blanchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679055701 PECOS PAC ID: 0244756302 Enrollment ID: I20250501001293 |
| Provider Name | Caroline Marie Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417711417 PECOS PAC ID: 4183141112 Enrollment ID: I20250502003063 |
| Provider Name | Madelyn Brie Bohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184341463 PECOS PAC ID: 7012497498 Enrollment ID: I20260216000254 |
| Provider Name | Kylie Wong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508547035 PECOS PAC ID: 7810477809 Enrollment ID: I20260218001238 |
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