| Be Mindful Chicago Counseling, Llc | |
|
1820 W Webster Ave Ste 400 Chicago IL 60614-4892 | |
| (773) 234-4042 | |
| Not Available |
| Full Name | Be Mindful Chicago Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1820 W Webster Ave Ste 400, Chicago, Illinois |
| Authorized Official Name and Position | Suzanne Wychocki (OWNER) |
| Authorized Official Contact | 7732344042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Mindful Chicago Counseling, Llc 457 W Deming Pl Chicago IL 60614-1718 Ph: (415) 310-1235 | Be Mindful Chicago Counseling, Llc 1820 W Webster Ave Ste 400 Chicago IL 60614-4892 Ph: (773) 234-4042 |
| NPI Number | 1821704115 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 0143673681 |
|---|---|
| Medicare Enrollment ID | O20240131002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821704115 | NPI | - | NPPES |
| 1205595907 | Other | IL | NPI |
| 1013644707 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne Marie Wychocki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427558121 PECOS PAC ID: 1052764594 Enrollment ID: I20240131002642 |
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