Intermission Therapies, Ltd. | |
22 Crissey Ave Ste 200 Geneva IL 60134-2351 | |
(630) 232-7770 | |
Not Available |
Full Name | Intermission Therapies, Ltd. |
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Speciality | Social Worker |
Location | 22 Crissey Ave Ste 200, Geneva, Illinois |
Authorized Official Name and Position | Marie S Egeland (PRESIDENT) |
Authorized Official Contact | 6302327770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intermission Therapies, Ltd. 22 Crissey Ave Ste 200 Geneva IL 60134-2351 Ph: (630) 232-7770 | Intermission Therapies, Ltd. 22 Crissey Ave Ste 200 Geneva IL 60134-2351 Ph: (630) 232-7770 |
NPI Number | 1124125752 |
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Provider Enumeration Date | 09/17/2006 |
Last Update Date | 03/18/2015 |
Medicare PECOS PAC ID | 2860557592 |
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Medicare Enrollment ID | O20090212000649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124125752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Marie S Egeland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578646451 PECOS PAC ID: 5395800023 Enrollment ID: I20091002000577 |
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