| Kari Sandy Counseling Corporation | |
|
975 E Nerge Rd Suite W100-e Roselle IL 60172-4804 | |
| (773) 263-7796 | |
| Not Available |
| Full Name | Kari Sandy Counseling Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 975 E Nerge Rd, Roselle, Illinois |
| Authorized Official Name and Position | Kari Sandy (PRESIDENT) |
| Authorized Official Contact | 7732637796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kari Sandy Counseling Corporation 556 Lincoln St Roselle IL 60172-1003 Ph: (773) 263-7796 | Kari Sandy Counseling Corporation 975 E Nerge Rd Suite W100-e Roselle IL 60172-4804 Ph: (773) 263-7796 |
| NPI Number | 1609310523 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 4082979059 |
|---|---|
| Medicare Enrollment ID | O20180521003227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609310523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013042 (Illinois) | Primary |
| Provider Name | Kari L Sandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689831430 PECOS PAC ID: 4486713997 Enrollment ID: I20081112000368 |
| Provider Name | Lisa Ann Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184220774 PECOS PAC ID: 7214341684 Enrollment ID: I20210126001107 |
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