| 4s Wellness Services | |
|
305 Wayne St Park Forest IL 60466-1327 | |
| (708) 466-8853 | |
| (708) 367-9980 |
| Full Name | 4s Wellness Services |
|---|---|
| Speciality | Psychologist |
| Location | 305 Wayne St, Park Forest, Illinois |
| Authorized Official Name and Position | Marlayna Antionette Warren (CEO) |
| Authorized Official Contact | 7084668853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4s Wellness Services 305 Wayne St Park Forest IL 60466-1327 Ph: (708) 466-8853 | 4s Wellness Services 305 Wayne St Park Forest IL 60466-1327 Ph: (708) 466-8853 |
| NPI Number | 1487324083 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 1355722893 |
|---|---|
| Medicare Enrollment ID | O20220715000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487324083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Larry L Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623525 PECOS PAC ID: 4284856204 Enrollment ID: I20141106001857 |
Once Upon Rehabilitation (ours) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Winona St, Park Forest, IL 60466 Phone: 630-921-2317 | |
Tru Divine Counseling & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Wilson St, Park Forest, IL 60466 Phone: 630-276-8872 | |
Oakwoods Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23500 Western Ave, Park Forest, IL 60466 Phone: 708-481-5466 Fax: 708-481-5466 | |
Grand Prairie Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Westwood Dr, Park Forest, IL 60466 Phone: 708-444-1012 | |
Day By Day Solutions Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Apache St, Park Forest, IL 60466 Phone: 708-738-6712 | |
Imperceptible Healing Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 288 Main St, Park Forest, IL 60466 Phone: 312-802-2442 |