Selene Miriam Escalante, is a
Student In An Organized Health Care Education/training Program based in Chicago, Illinois. Selene Miriam Escalante is licensed to practice in * (Not Available) (license number ) and her current practice location is
155 N Michigan Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 819-7381.
NPI number for Selene Miriam Escalante is 1982443982 and her current mailing address is 5427 S Millard Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982443982.
Healthcare Provider's Profile
| Full Name | Selene Miriam Escalante |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 155 N Michigan Ave, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982443982
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 05/21/2024
Medical Identifiers
Medical identifiers for Selene Miriam Escalante such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982443982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Selene Miriam Escalante 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 |
|---|
Selene Miriam Escalante,
5427 S Millard Ave,
Chicago, IL 60632-3244
Ph: (773) 575-4435 | Selene Miriam Escalante,
155 N Michigan Ave,
Chicago, IL 60601-7511
Ph: (312) 819-7381 |
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