| Flutterby Ventures, Llc | |
|
3600 N Lake Shore Dr Chicago IL 60613-4684 | |
| (847) 563-0502 | |
| Not Available |
| Full Name | Flutterby Ventures, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 N Lake Shore Dr, Chicago, Illinois |
| Authorized Official Name and Position | Cynthia Lynne Mckinzie (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8475630502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flutterby Ventures, Llc 3600 N Lake Shore Dr Apt 2608 Chicago IL 60613-4666 Ph: (847) 563-0502 | Flutterby Ventures, Llc 3600 N Lake Shore Dr Chicago IL 60613-4684 Ph: (847) 563-0502 |
| NPI Number | 1598336844 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 5991164840 |
|---|---|
| Medicare Enrollment ID | O20230710003250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598336844 | NPI | - | NPPES |
| 1528628484 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cynthia Mckinzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528628484 PECOS PAC ID: 7618201260 Enrollment ID: I20190702000324 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |