| Beth Hennessey, P.c. | |
|
3523 N Lincoln Ave Chicago IL 60657-1137 | |
| (773) 929-6261 | |
| (773) 929-6762 |
| Full Name | Beth Hennessey, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3523 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Elizabeth Hennessey (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7733047148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Hennessey, P.c. 1243 W Granville Ave # 2w Chicago IL 60660-1904 Ph: (773) 304-7148 | Beth Hennessey, P.c. 3523 N Lincoln Ave Chicago IL 60657-1137 Ph: (773) 929-6261 |
| NPI Number | 1659755700 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659755700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 108.007468 (Illinois) | Primary |
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