Chicagoland Counseling Pllc | |
1315 N Highland Ave Ste 202 Aurora IL 60506-1460 | |
(630) 394-1379 | |
Not Available |
Full Name | Chicagoland Counseling Pllc |
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Speciality | Social Worker |
Location | 1315 N Highland Ave Ste 202, Aurora, Illinois |
Authorized Official Name and Position | Dana Pavlu (CLINIC DIRECTOR) |
Authorized Official Contact | 6308418891 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chicagoland Counseling Pllc 1315 N Highland Ave Ste 202 Aurora IL 60506-1460 Ph: (630) 394-1379 | Chicagoland Counseling Pllc 1315 N Highland Ave Ste 202 Aurora IL 60506-1460 Ph: (630) 394-1379 |
NPI Number | 1265215925 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 08/16/2023 |
Certification Date | 08/16/2023 |
Medicare PECOS PAC ID | 5193171346 |
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Medicare Enrollment ID | O20231025001371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265215925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Dana Pavlu |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740526441 PECOS PAC ID: 7214220672 Enrollment ID: I20160721002426 |
Provider Name | Api Ngonuh Mudoh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063868628 PECOS PAC ID: 1759731722 Enrollment ID: I20240103002346 |
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