| Daniel E. Healy, Msw, Lcsw, Pllc | |
|
2529 W Coyle Ave Chicago IL 60645-3212 | |
| (773) 584-2367 | |
| Not Available |
| Full Name | Daniel E. Healy, Msw, Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2529 W Coyle Ave, Chicago, Illinois |
| Authorized Official Name and Position | Daniel Healy (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7735842367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E. Healy, Msw, Lcsw, Pllc 2529 W Coyle Ave Chicago IL 60645-3212 Ph: (773) 584-2367 | Daniel E. Healy, Msw, Lcsw, Pllc 2529 W Coyle Ave Chicago IL 60645-3212 Ph: (773) 584-2367 |
| NPI Number | 1134716574 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 3375957665 |
|---|---|
| Medicare Enrollment ID | O20210127003195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134716574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Daniel E Healy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700404183 PECOS PAC ID: 0446664734 Enrollment ID: I20210127003300 |
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