| Heritage Professional Associates | |
|
126 E Chestnut St Rccw Third Floor Chicago IL 60611-2014 | |
| (312) 787-8425 | |
| Not Available |
| Full Name | Heritage Professional Associates |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 126 E Chestnut St, Chicago, Illinois |
| Authorized Official Name and Position | Traci Pavlik (OFFICE MANAGER) |
| Authorized Official Contact | 6303255300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Professional Associates 120 E Ogden Ave Suite 220 Hinsdale IL 60521-3542 Ph: (630) 325-5300 | Heritage Professional Associates 126 E Chestnut St Rccw Third Floor Chicago IL 60611-2014 Ph: (312) 787-8425 |
| NPI Number | 1144693961 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144693961 | NPI | - | NPPES |
| 1033244173 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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