Antoine J Washington, is a 
Psychologist - Health Service based in Lansing, Illinois. Antoine J Washington is licensed to practice in Illinois (license number W25201083167) and his current practice location is 
3442 177th St, Lansing, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(708) 527-6305.
NPI number for Antoine J Washington is 1770346942 and his current mailing address is 930 E 162nd St, South Holland, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770346942.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Antoine J Washington | 
|---|
| Gender | Male | 
|---|
| Speciality | Psychologist - Health Service | 
|---|
| Location | 3442 177th St, Lansing, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1770346942
 - Provider Enumeration Date: 01/31/2024
 - Last Update Date: 01/31/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Antoine J Washington such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1770346942 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 103TH0100X | Psychologist - Health Service  | W25201083167 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antoine J Washington is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Antoine J Washington, 930 E 162nd St, South Holland, IL 60473-2442 Ph: (708) 677-6715 | Antoine J Washington, 3442 177th St, Lansing, IL 60438-2036 Ph: (708) 527-6305 | 
		
		 
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