Marco Formigoni (NPI# 1295164093, PAC ID# 0749404671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1295164093 |
PAC ID by PECOS | 0749404671 |
Professional Enrollment ID | I20140617000590 |
Full Name | Marco Formigoni |
Organization Legal Name | CROSSROADS COUNSELING SERVICES, LLC |
Address |
24047 W Lockport St Suite 201h Plainfield IL 60544-2205 |
Phone Number | 8159413882 |
Gender | M |
Graduation Year | 1993 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 9234280710 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
112 W Ctr St B, Ottawa, IL 61350-3557 | 8154335101 | CROSSROADS COUNSELING SERVICES, LLC |
24047 W Lockport St, Suite 201h, Plainfield, IL 60544-2205 | 8159413882 | CROSSROADS COUNSELING SERVICES, LLC |
24047 W Lockport St, Plainfield, IL 60544-2205 | 8159413882 | CROSSROADS COUNSELING SERVICES, LLC |
Organization Legal Name | CROSSROADS COUNSELING SERVICES, LLC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
William W Alley | Clinical Social Worker | Crossroads Counseling Services, LLC | 1802 N Division St, Suite 509, Morris, IL 60450-3107 |
Anne C Ibarra | Clinical Social Worker | Crossroads Counseling Services, LLC | 13550 S Route 30, Suite 302, Plainfield, IL 60544-5685 |
Robin J Weeks | Clinical Social Worker | Crossroads Counseling Services, LLC | 1802 N Division St, Suite 509, Morris, IL 60450-3107 |
Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
James V Dyers Jr. | Psychiatry | Crossroads Counseling Services, LLC | 1802 N Division St, Suite 509, Morris, IL 60450-3107 |
Victoria Brueggert | Nurse Practitioner | Crossroads Counseling Services, LLC | 1802 N Division St, Suite 509, Morris, IL 60450-3107 |
Street Address |
24047 W LOCKPORT ST SUITE 201H |
City | PLAINFIELD |
State | IL |
Zip | 60544-2205 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert D Tetik | Emergency Medicine | 24047 W Lockport St, 201w, Plainfield, IL 60544-2205 | |
Olena A Hartline | Clinical Social Worker | 24047 W Lockport St, Suite 201b, Plainfield, IL 60544-1680 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara Ann Tavoletti | Nurse Practitioner | Illinois Phlebology Associates Sc | 12760 S Route 59, Plainfield, IL 60544 |
Michael J Raczkowski | Chiropractic | Pain and Wellness Group Ltd | 13717 S Rt Us, 30 Suite 123, Plainfield, IL 60544 |
Megan E Omahony | Nurse Practitioner | Illinois Phlebology Associates Sc | 12760 S Route 59, Plainfield, IL 60544 |
Luke M Lotriet | Chiropractic | Pain and Wellness Group Ltd | 13717 S Rt Us, 30 Suite 123, Plainfield, IL 60544 |
Sarah Eckmann | Nurse Practitioner | Pain and Wellness Group Ltd | 13717 S Rt Us, 30 Suite 123, Plainfield, IL 60544 |
Praveen K Vohra | Podiatry | 24039 W Lockport St, Plainfield, IL 60544-1652 | |
Richa S Vohra | Physical Medicine and Rehabilitation | 24039 W Lockport St, Plainfield, IL 60544-1652 | |
Asif Hussain | Internal Medicine | Dreyer Clinic Inc | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 |
Kiranjit K Deol | Internal Medicine | Dreyer Clinic Inc | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 |
Tracie L Lovett | Nurse Practitioner | Dreyer Clinic Inc | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 |
Find all physicians in zip 60544 |
City | PLAINFIELD |
Zip Code | 60544 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | PLAINFIELD + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.