| James P Popp Ltd | |
|
1 E Northwest Hwy Ste 212 Palatine IL 60067-1700 | |
| (708) 280-6538 | |
| (847) 705-6444 |
| Full Name | James P Popp Ltd |
|---|---|
| Speciality | Counselor |
| Location | 1 E Northwest Hwy Ste 212, Palatine, Illinois |
| Authorized Official Name and Position | Debra Ann Kowalczyk (VICE PRESIDENT/SECRETARY) |
| Authorized Official Contact | 7082806538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James P Popp Ltd 1519 N Dryden Ave Arlington Heights IL 60004-4031 Ph: (708) 280-6538 | James P Popp Ltd 1 E Northwest Hwy Ste 212 Palatine IL 60067-1700 Ph: (708) 280-6538 |
| NPI Number | 1659141844 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 3476092065 |
|---|---|
| Medicare Enrollment ID | O20240827003172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659141844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Debra Ann Kowalczyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538129036 PECOS PAC ID: 4385183979 Enrollment ID: I20240827003321 |
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