Institute For The Cycles Of Life Llc | |
12 E Brookwood Dr Arlington Heights IL 60004-2512 | |
(734) 846-7535 | |
Not Available |
Full Name | Institute For The Cycles Of Life Llc |
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Speciality | Social Worker |
Location | 12 E Brookwood Dr, Arlington Heights, Illinois |
Authorized Official Name and Position | Deb Naomi Torres (OWNER) |
Authorized Official Contact | 7348467535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Institute For The Cycles Of Life Llc 12 E Brookwood Dr Arlington Heights IL 60004-2512 Ph: (734) 846-7535 | Institute For The Cycles Of Life Llc 12 E Brookwood Dr Arlington Heights IL 60004-2512 Ph: (734) 846-7535 |
NPI Number | 1417495680 |
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Provider Enumeration Date | 02/07/2017 |
Last Update Date | 04/28/2017 |
Medicare PECOS PAC ID | 5597042119 |
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Medicare Enrollment ID | O20170509002521 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417495680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149014340 (Illinois) | Primary |
Provider Name | Debra Naomi Torres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033416169 PECOS PAC ID: 7214217066 Enrollment ID: I20161213001706 |
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