| Inner Elements Llc | |
|
2130 Schiller Ave Wilmette IL 60091-2326 | |
| (815) 557-5736 | |
| Not Available |
| Full Name | Inner Elements Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2130 Schiller Ave, Wilmette, Illinois |
| Authorized Official Name and Position | Ann Marie Sands (OWNER, CLINICIAN) |
| Authorized Official Contact | 8155575736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Elements Llc 2130 Schiller Ave Wilmette IL 60091-2326 Ph: (815) 557-5736 | Inner Elements Llc 2130 Schiller Ave Wilmette IL 60091-2326 Ph: (815) 557-5736 |
| NPI Number | 1811503089 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Medicare PECOS PAC ID | 7719307362 |
|---|---|
| Medicare Enrollment ID | O20201020001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811503089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann Marie Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467868539 PECOS PAC ID: 8325344062 Enrollment ID: I20160307002025 |
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