| Life Changers Llc | |
|
8543 S Stony Island Ave Ste 5 Chicago IL 60617-2249 | |
| (773) 633-1934 | |
| (773) 901-2363 |
| Full Name | Life Changers Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8543 S Stony Island Ave Ste 5, Chicago, Illinois |
| Authorized Official Name and Position | Celeste Mcgill (CEO) |
| Authorized Official Contact | 7735319571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changers Llc 4937 S St. Lawrence Chicago IL 60615-2114 Ph: (773) 531-9571 | Life Changers Llc 8543 S Stony Island Ave Ste 5 Chicago IL 60617-2249 Ph: (773) 633-1934 |
| NPI Number | 1710376967 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 1557805405 |
|---|---|
| Medicare Enrollment ID | O20240702002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710376967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15149 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149007758 (Illinois) | Primary |
| Provider Name | Celeste L Mcgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033264429 PECOS PAC ID: 7214124163 Enrollment ID: I20110321000342 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |