MEDICARE: PILLARS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1518030725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILLARS

Provider Business Mailing Address
First Line	:	1221 RIDGELAND AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-1142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 S MARION ST
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2809
Country	:	US
Telephone Number	:	708-406-3119
Fax Number	:

Authorized Official
Title or Position	:	SASS THERAPIST
Name	:	MS. CHRISTINA ANN GNOLFO
Credential	:	MSW
Telephone Number	:	708-406-3119

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1679046502 — JENNIFER DURAN LSW
Practice Location Address:

120 S MARION ST
OAK PARK, IL
60302-2809

Practice Phone: 708-383-7500
Practice Fax: 708-383-7780

1609984285 — MS. DIANE MARIE GILLIARD LCPC, CADC
Practice Location Address:

120 S MARION ST , 4TH FLOOR
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1083780316 — MRS. SHEILA RAE HEMKER M.S.W., LCSW
Practice Location Address:

120 S MARION ST , 4TH FLOOR
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60302-2809

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Practice Fax:

1538224050 — MR. SIDNEY H. WAX M.S.W.
Practice Location Address:

120 S MARION ST
OAK PARK, IL
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Practice Fax:

1386701365 — MR. CHARLES A LERNER LCPC
Practice Location Address:

120 S MARION ST , OAK PARK FAMILY SERVICE
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1497806004 — REBECCA FALLERT LCSW
Practice Location Address:

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Directions to “PILLARS ” Practice Location

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