| Drexel Counseling Services, Inc. | |
|
936 E 93rd St Chicago IL 60619-7814 | |
| (773) 550-1696 | |
| (773) 336-5545 |
| Full Name | Drexel Counseling Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 936 E 93rd St, Chicago, Illinois |
| Authorized Official Name and Position | Kathy Hardin Earl (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7735501696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel Counseling Services, Inc. 1115 S Plymouth Ct Apt 501 Chicago IL 60605-2032 Ph: (773) 550-1696 | Drexel Counseling Services, Inc. 936 E 93rd St Chicago IL 60619-7814 Ph: (773) 550-1696 |
| NPI Number | 1679846919 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Medicare PECOS PAC ID | 1557782513 |
|---|---|
| Medicare Enrollment ID | O20200528003121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679846919 | NPI | - | NPPES |
| C/A42070002A | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C/A42070002A (Illinois) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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