Core Values Personal And Professional Development Llc, | |
6401 Shannon Dr Cary IL 60013-1256 | |
(847) 212-5891 | |
Not Available |
Full Name | Core Values Personal And Professional Development Llc, |
---|---|
Speciality | Social Worker |
Location | 6401 Shannon Dr, Cary, Illinois |
Authorized Official Name and Position | Cathrine Ann Schumacher (OWNER/LCSW) |
Authorized Official Contact | 8472125891 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Core Values Personal And Professional Development Llc, 6401 Shannon Dr Cary IL 60013-1256 Ph: (847) 212-5891 | Core Values Personal And Professional Development Llc, 6401 Shannon Dr Cary IL 60013-1256 Ph: (847) 212-5891 |
NPI Number | 1891363578 |
---|---|
Provider Enumeration Date | 06/17/2021 |
Last Update Date | 06/28/2021 |
Certification Date | 06/28/2021 |
Medicare PECOS PAC ID | 4688077167 |
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Medicare Enrollment ID | O20210721001341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891363578 | NPI | - | NPPES |
1528337805 | Other | IL | NOT YET LINKED TO MEDICARE FOR THIS COMPANY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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