| Chicago Center For Integration And Healing Ltd | |
|
4700 N Ravenswood Ave Chicago IL 60640-4408 | |
| (773) 754-7441 | |
| Not Available |
| Full Name | Chicago Center For Integration And Healing Ltd |
|---|---|
| Speciality | Counselor |
| Location | 4700 N Ravenswood Ave, Chicago, Illinois |
| Authorized Official Name and Position | Amy Zajakowski Uhll (DIRECTOR) |
| Authorized Official Contact | 7737547441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Center For Integration And Healing Ltd 4700 N Ravenswood Ave Chicago IL 60640-4408 Ph: (773) 754-7441 | Chicago Center For Integration And Healing Ltd 4700 N Ravenswood Ave Chicago IL 60640-4408 Ph: (773) 754-7441 |
| NPI Number | 1619388196 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 6002295755 |
|---|---|
| Medicare Enrollment ID | O20220627001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619388196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mary H Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326464439 PECOS PAC ID: 3173749017 Enrollment ID: I20140729001945 |
| Provider Name | Chloe Shelly Gremaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811471295 PECOS PAC ID: 3971855248 Enrollment ID: I20181015002729 |
| Provider Name | Kyle A Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699255 PECOS PAC ID: 3476836743 Enrollment ID: I20190118000011 |
| Provider Name | Erin Bland Dugas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407444102 PECOS PAC ID: 1052790730 Enrollment ID: I20220627002225 |
| Provider Name | Michelle Horner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487178018 PECOS PAC ID: 5597131748 Enrollment ID: I20221013001296 |
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