| Jusufi Therapeutic Services Inc | |
|
2030 E Algonquin Rd Suite 401 Schaumburg IL 60173-4159 | |
| (847) 338-8486 | |
| (847) 925-1355 |
| Full Name | Jusufi Therapeutic Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2030 E Algonquin Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Florije Jusufi (PRESIDENT) |
| Authorized Official Contact | 8473388486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jusufi Therapeutic Services Inc P.o. Box 957412 Hoffman Estates IL 60195-7412 Ph: (847) 338-8486 | Jusufi Therapeutic Services Inc 2030 E Algonquin Rd Suite 401 Schaumburg IL 60173-4159 Ph: (847) 338-8486 |
| NPI Number | 1740497981 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Medicare PECOS PAC ID | 2668866575 |
|---|---|
| Medicare Enrollment ID | O20220218000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740497981 | NPI | - | NPPES |
| 1356373468 | Other | IL | NPI INDIVIDUAL |
| 1635122 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149007413 (Illinois) | Primary |
| Provider Name | Florije Jusufi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356373468 PECOS PAC ID: 1658347075 Enrollment ID: I20040908001195 |
| Provider Name | Vicki S Homola-meckes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083163497 PECOS PAC ID: 8729334982 Enrollment ID: I20180702002698 |
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