| Imagine Therapy Mindfulness Healing Pllc | |
|
708 W Grand Ave Chicago IL 60654 | |
| (312) 300-2190 | |
| Not Available |
| Full Name | Imagine Therapy Mindfulness Healing Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 708 W Grand Ave, Chicago, Illinois |
| Authorized Official Name and Position | Chrissa Flannery (MANAGER) |
| Authorized Official Contact | 7083370642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Therapy Mindfulness Healing Pllc 708 W Grand Ave Chicago IL 60654 Ph: (312) 300-2190 | Imagine Therapy Mindfulness Healing Pllc 708 W Grand Ave Chicago IL 60654 Ph: (312) 300-2190 |
| NPI Number | 1669144218 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 2264820067 |
|---|---|
| Medicare Enrollment ID | O20211028000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669144218 | NPI | - | NPPES |
| Provider Name | Heather Costello |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245496819 PECOS PAC ID: 6608927710 Enrollment ID: I20090701000359 |
| Provider Name | Hope Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457702094 PECOS PAC ID: 6406112994 Enrollment ID: I20171116001640 |
| Provider Name | Erika Steinbrenner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235592494 PECOS PAC ID: 3476815788 Enrollment ID: I20230227001671 |
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