Gisele Smith Pllc | |
5225 Old Orchard Rd Ste 6 Skokie IL 60077-1027 | |
(847) 868-3633 | |
Not Available |
Full Name | Gisele Smith Pllc |
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Speciality | Counselor |
Location | 5225 Old Orchard Rd Ste 6, Skokie, Illinois |
Authorized Official Name and Position | Gisele Smith (OWNER) |
Authorized Official Contact | 8478683633 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gisele Smith Pllc 5225 Old Orchard Rd Ste 6 Skokie IL 60077-1027 Ph: (847) 868-3633 | Gisele Smith Pllc 5225 Old Orchard Rd Ste 6 Skokie IL 60077-1027 Ph: (847) 868-3633 |
NPI Number | 1578345153 |
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Provider Enumeration Date | 10/18/2023 |
Last Update Date | 01/02/2024 |
Certification Date | 01/02/2024 |
Medicare PECOS PAC ID | 8325495260 |
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Medicare Enrollment ID | O20231114002059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578345153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Gisele Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265636674 PECOS PAC ID: 5496131120 Enrollment ID: I20221004002851 |
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