| Art Of Recovery Services Nfp | |
|
1512 Artaius Pkwy Ste 200 Libertyville IL 60048-5231 | |
| (847) 461-1005 | |
| Not Available |
| Full Name | Art Of Recovery Services Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1512 Artaius Pkwy Ste 200, Libertyville, Illinois |
| Authorized Official Name and Position | George Mazya (CEO) |
| Authorized Official Contact | 8474611005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Of Recovery Services Nfp 1512 Artaius Pkwy Ste 200 Libertyville IL 60048-5231 Ph: (847) 461-1005 | Art Of Recovery Services Nfp 1512 Artaius Pkwy Ste 200 Libertyville IL 60048-5231 Ph: (847) 461-1005 |
| NPI Number | 1104560887 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Medicare PECOS PAC ID | 0244691798 |
|---|---|
| Medicare Enrollment ID | O20230731001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104560887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yana Mazya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165880 PECOS PAC ID: 9830522234 Enrollment ID: I20191125001860 |
| Provider Name | Laureen Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467624775 PECOS PAC ID: 3678996154 Enrollment ID: I20200701001472 |
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