| Innersight Counseling, Llc | |
|
17w727 Butterfield Rd Suite G Oakbrook Terrace IL 60181-4278 | |
| (773) 802-3618 | |
| Not Available |
| Full Name | Innersight Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17w727 Butterfield Rd, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Irene Medina (OWNER) |
| Authorized Official Contact | 7738023618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innersight Counseling, Llc 17w727 Butterfield Rd Suite G Oakbrook Terrace IL 60181-4278 Ph: () - | Innersight Counseling, Llc 17w727 Butterfield Rd Suite G Oakbrook Terrace IL 60181-4278 Ph: (773) 802-3618 |
| NPI Number | 1649655424 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Medicare PECOS PAC ID | 2365758240 |
|---|---|
| Medicare Enrollment ID | O20150909000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649655424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180004492 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149015712 (Illinois) | Primary |
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