| Crossroads Therapy And Wellness, Pllc | |
|
718 Ogden Ave # 201c Downers Grove IL 60515-2957 | |
| (630) 674-0333 | |
| Not Available |
| Full Name | Crossroads Therapy And Wellness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 718 Ogden Ave # 201c, Downers Grove, Illinois |
| Authorized Official Name and Position | Ronna Buckun (LCSW/OWNER) |
| Authorized Official Contact | 6306740333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy And Wellness, Pllc 4225 Washington St Downers Grove IL 60515-2120 Ph: () - | Crossroads Therapy And Wellness, Pllc 718 Ogden Ave # 201c Downers Grove IL 60515-2957 Ph: (630) 674-0333 |
| NPI Number | 1447955042 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 9032576590 |
|---|---|
| Medicare Enrollment ID | O20230530000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447955042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ronna Buckun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760941470 PECOS PAC ID: 7214278498 Enrollment ID: I20190417000094 |
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