| Michelle Brunner Los, | |
|
505 W Maple St, Hinsdale, IL 60521-3109 | |
| (847) 997-1028 | |
| Not Available |
| Full Name | Michelle Brunner Los |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 505 W Maple St, Hinsdale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437794559 | NPI | - | NPPES |
| 146.012593 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.012593 (Illinois) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Brunner Los, 814 N Marshfield Ave # 3n, Chicago, IL 60622-5129 Ph: (847) 997-1028 | Michelle Brunner Los, 505 W Maple St, Hinsdale, IL 60521-3109 Ph: (847) 997-1028 |
Ms. Carol A Mayer, MS CCCSLP COM Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15 Spinning Wheel Rd, # 419, Hinsdale, IL 60521 Phone: 630-309-5083 Fax: 630-789-8346 | |
Josefina Garcia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 W Birchwood Ave, Hinsdale, IL 60521 Phone: 630-853-3374 | |
Mrs. Christina Josephine Scalise-morrissey, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 W Birchwood Ave, Hinsdale, IL 60521 Phone: 630-853-3374 Fax: 630-789-8852 | |
Erin Marie Goodwin, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 410 W 8th St, Hinsdale, IL 60521 Phone: 630-930-8733 | |
Ms. Christine Patricia Mccarthy, M.A., CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 421 S Clay St, Hinsdale, IL 60521 Phone: 630-323-3244 | |
Amy Usher, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 428 S Lincoln St, Hinsdale, IL 60521 Phone: 630-272-4023 | |
Mrs. Alexandra Danekas Giammanco, SPEECH-LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 815 N Madison St, Hinsdale, IL 60521 Phone: 847-754-6472 |