| Center For Recovery & Growth, Llc | |
|
1770 W Berteau Ave Ste 302a Chicago IL 60613-1750 | |
| (773) 850-0526 | |
| Not Available |
| Full Name | Center For Recovery & Growth, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1770 W Berteau Ave Ste 302a, Chicago, Illinois |
| Authorized Official Name and Position | Barbara Herman Bayne (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3128485626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Recovery & Growth, Llc 1628 W Gregory St Chicago IL 60640-1108 Ph: (312) 848-5626 | Center For Recovery & Growth, Llc 1770 W Berteau Ave Ste 302a Chicago IL 60613-1750 Ph: (773) 850-0526 |
| NPI Number | 1134521453 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 9830411131 |
|---|---|
| Medicare Enrollment ID | O20141121002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134521453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.015422 (Illinois) | Primary |
| Provider Name | Barbara H Bayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528317443 PECOS PAC ID: 3274787130 Enrollment ID: I20130131000500 |
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