| Client Centered Wellness Llc | |
|
15105 S James St Ste 3 Plainfield IL 60544-2171 | |
| (630) 885-0131 | |
| Not Available |
| Full Name | Client Centered Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15105 S James St Ste 3, Plainfield, Illinois |
| Authorized Official Name and Position | John Crouse (OFFICE MANAGER) |
| Authorized Official Contact | 6308064624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Client Centered Wellness Llc 208 Cambridge Ct Oswego IL 60543-8023 Ph: (630) 806-4624 | Client Centered Wellness Llc 15105 S James St Ste 3 Plainfield IL 60544-2171 Ph: (630) 885-0131 |
| NPI Number | 1720702160 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 8224405188 |
|---|---|
| Medicare Enrollment ID | O20221104002530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720702160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryne S Hatch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508116658 PECOS PAC ID: 6002211422 Enrollment ID: I20210824001647 |
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