| Inner Healing Of The Heart Pllc | |
|
64 Orland Square Dr Ste 314a Orland Park IL 60462-6545 | |
| (708) 971-7812 | |
| Not Available |
| Full Name | Inner Healing Of The Heart Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 64 Orland Square Dr Ste 314a, Orland Park, Illinois |
| Authorized Official Name and Position | Fatimah Hishmeh (THERAPIST) |
| Authorized Official Contact | 7089717812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Healing Of The Heart Pllc 64 Orland Square Dr Ste 314a Orland Park IL 60462-6545 Ph: (708) 971-7812 | Inner Healing Of The Heart Pllc 64 Orland Square Dr Ste 314a Orland Park IL 60462-6545 Ph: (708) 971-7812 |
| NPI Number | 1710715388 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 8527591544 |
|---|---|
| Medicare Enrollment ID | O20241030000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710715388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Fatimah Hishmeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881336857 PECOS PAC ID: 9436682465 Enrollment ID: I20241030001198 |
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