| Affinity Clinical Services, Llc | |
|
1755 S Naperville Rd Suite 100 Wheaton IL 60189-5844 | |
| (312) 217-1802 | |
| Not Available |
| Full Name | Affinity Clinical Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1755 S Naperville Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Kimberly Ann Oddo (OWNER) |
| Authorized Official Contact | 3122171802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Clinical Services, Llc 1755 S Naperville Rd Suite 100 Wheaton IL 60189-5844 Ph: (312) 217-1802 | Affinity Clinical Services, Llc 1755 S Naperville Rd Suite 100 Wheaton IL 60189-5844 Ph: (312) 217-1802 |
| NPI Number | 1124362116 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 9638462260 |
|---|---|
| Medicare Enrollment ID | O20160720000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124362116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.015549 (Illinois) | Primary |
| Provider Name | Kimberly Ann Oddo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366787541 PECOS PAC ID: 5193016624 Enrollment ID: I20160720000903 |
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