| Intertwined | |
|
10540 S Western Ave Ste 310 Chicago IL 60643-2529 | |
| (708) 499-2030 | |
| Not Available |
| Full Name | Intertwined |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10540 S Western Ave Ste 310, Chicago, Illinois |
| Authorized Official Name and Position | Rochelle Johnson (OWNER) |
| Authorized Official Contact | 7084992030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intertwined 5233 Stoneridge Ct Matteson IL 60443-2269 Ph: (708) 499-2030 | Intertwined 10540 S Western Ave Ste 310 Chicago IL 60643-2529 Ph: (708) 499-2030 |
| NPI Number | 1205168424 |
|---|---|
| Provider Enumeration Date | 02/13/2010 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205168424 | NPI | - | NPPES |
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