| Aleks Kico | |
|
1618 W Colonial Pkwy Ste 130 Inverness IL 60067-4725 | |
| (312) 529-0913 | |
| Not Available |
| Full Name | Aleks Kico |
|---|---|
| Speciality | Clinic/Center |
| Location | 1618 W Colonial Pkwy Ste 130, Inverness, Illinois |
| Authorized Official Name and Position | Aleks Kico (OWNER, CEO) |
| Authorized Official Contact | 3125290913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleks Kico 955 Heartwood Ln Lake Zurich IL 60047-2727 Ph: (312) 529-0913 | Aleks Kico 1618 W Colonial Pkwy Ste 130 Inverness IL 60067-4725 Ph: (312) 529-0913 |
| NPI Number | 1629853130 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 0446692636 |
|---|---|
| Medicare Enrollment ID | O20240520001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629853130 | NPI | - | NPPES |
| Provider Name | Aleks Kico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518454081 PECOS PAC ID: 4789935651 Enrollment ID: I20180918000020 |
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