Promed Preferred Il 2 PLLC in Fairview Heights, IL
This organization bills under NPI 1023855566, an organization record issued on Jul 11, 2024 with the primary taxonomy Clinical Social Worker. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1023855566
- Legal name
- Promed Preferred Il 2 PLLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- Practice location
- 141 MARKET PL STE 100, Fairview Heights, IL 62208
- Phone
- 615-499-3165
- Mailing address
- Plainview, NY
- Enumerated
- Jul 11, 2024
- Record updated
- Jun 9, 2026
- Authorized official
- President (title as filed)
16 clinicians CMS lists with Promed Preferred Il 2 in Fairview Heights
- Nicole Boyd, FNP-BCFamily Nurse Practitioner1710439112
- Ronald Chew, LCSW, PSYDClinical Social Worker1487104873
- Melissa Coffey, LCPCProfessional Counselor1336626597
- Stephen Frazier, LCSWClinical Social Worker1538476742
- Karlene Goodman, MDPsychiatry Physician1285749077
- Kathleen Hitpas, LCSWClinical Social Worker1700033354
- Ebele IloabachiePsychiatric/Mental Health Nurse Practitioner1093050841
- Marian Jackson, LCSWClinical Social Worker1427394485
- Laura Lengyel, MA, LCPC, ATR-BCProfessional Counselor1467922708
- Glenn Agape Montero, MSN, ARN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1124805189
- Shontel Ray, AGPCNPPsychiatric/Mental Health Nurse Practitioner1932593910
- Rachel Salazar, LCSWClinical Social Worker1033507652
- Rosiland SedlacekPsychiatric/Mental Health Nurse Practitioner1265220651
- Salwa SyedPsychiatric/Mental Health Nurse Practitioner1316812365
- Julia Uhring Green, MSW, LCSW, CADCClinical Social Worker1629244322
- Beverley Watkins, PHDClinical Social Worker1568583136
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Illinois secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 101YM0800X Mental Health Counselor
- 1041C0700X Clinical Social Worker
- 207R00000X Internal Medicine Physician
- 2084P0800X Psychiatry Physician
- 363LP0808X Psychiatric/Mental Health Nurse Practitioner
Common questions
Why is the mailing address in New York?
The mailing address in the record (Plainview, NY) is where the organization receives mail. Care is given at the practice location in Fairview Heights.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.