| Dubois Counseling, Pc | |
|
636 Church St Suite 615 Evanston IL 60201-4508 | |
| (773) 680-5620 | |
| Not Available |
| Full Name | Dubois Counseling, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 636 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Natalie E Dubois (OWNER) |
| Authorized Official Contact | 7736805620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubois Counseling, Pc 9444 Lawndale Ave Evanston IL 60203-1307 Ph: (773) 680-5620 | Dubois Counseling, Pc 636 Church St Suite 615 Evanston IL 60201-4508 Ph: (773) 680-5620 |
| NPI Number | 1700243086 |
|---|---|
| Provider Enumeration Date | 01/18/2016 |
| Last Update Date | 01/18/2016 |
| Medicare PECOS PAC ID | 7012290919 |
|---|---|
| Medicare Enrollment ID | O20170217002078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700243086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-002102 (Illinois) | Primary |
| Provider Name | Natalie E Dubois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518071166 PECOS PAC ID: 9032414941 Enrollment ID: I20160301001344 |
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