| Cje Seniorlife | |
|
3033 W Touhy Ave Chicago IL 60645-2833 | |
| (773) 508-1000 | |
| (773) 508-1028 |
| Full Name | Cje Seniorlife |
|---|---|
| Speciality | Clinic/Center |
| Location | 3033 W Touhy Ave, Chicago, Illinois |
| Authorized Official Name and Position | Stacey Lee Turner (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7735081075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cje Seniorlife 3003 W Touhy Ave Chicago IL 60645-2833 Ph: (773) 508-1000 | Cje Seniorlife 3033 W Touhy Ave Chicago IL 60645-2833 Ph: (773) 508-1000 |
| NPI Number | 1619907698 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 8224932702 |
|---|---|
| Medicare Enrollment ID | O20180529000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619907698 | NPI | - | NPPES |
| Provider Name | Tslilia Rudinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932232725 PECOS PAC ID: 7911800685 Enrollment ID: I20040903001055 |
| Provider Name | Sharon Dornberg Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417989518 PECOS PAC ID: 1759345630 Enrollment ID: I20041119000358 |
| Provider Name | Susan Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588260392 PECOS PAC ID: 3779548672 Enrollment ID: I20041119000534 |
| Provider Name | David R Rosenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871707471 PECOS PAC ID: 4385817790 Enrollment ID: I20111031000736 |
| Provider Name | Mariana Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659777829 PECOS PAC ID: 7416270053 Enrollment ID: I20150106001738 |
| Provider Name | Lisa Marie Diaz Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447747886 PECOS PAC ID: 4385908722 Enrollment ID: I20180510001584 |
| Provider Name | Peter Eric Tsurkis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831797315 PECOS PAC ID: 3870979248 Enrollment ID: I20221008000312 |
| Provider Name | Katherine Rose D'aunno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831762418 PECOS PAC ID: 7810363546 Enrollment ID: I20221020000495 |
| Provider Name | Jamie Ellen Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689353054 PECOS PAC ID: 1557722949 Enrollment ID: I20230801004382 |
| Provider Name | Kathryn Elizabeth Maley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225801509 PECOS PAC ID: 0648627745 Enrollment ID: I20231110002570 |
| Provider Name | Moonyeen Crisadel Tiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902141211 PECOS PAC ID: 3274757612 Enrollment ID: I20240406000118 |
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