Heritage Professional Associates | |
1 Gale Ave 2e River Forest IL 60305-2065 | |
(708) 296-9023 | |
Not Available |
Full Name | Heritage Professional Associates |
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Speciality | Counselor - Pastoral |
Location | 1 Gale Ave, River Forest, Illinois |
Authorized Official Name and Position | Thomas L Schemper (DIRECTOR) |
Authorized Official Contact | 3127878425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Professional Associates 1 Gale Ave 2e River Forest IL 60305-2065 Ph: (708) 296-9023 | Heritage Professional Associates 1 Gale Ave 2e River Forest IL 60305-2065 Ph: (708) 296-9023 |
NPI Number | 1174991616 |
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Provider Enumeration Date | 09/14/2015 |
Last Update Date | 09/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174991616 | NPI | - | NPPES |
3633804243 | Other | IL | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | 178.010925 (Illinois) | Primary |
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