| Life Reset Solutions, P.c. | |
|
3633 W Lake Ave Suite 404 Glenview IL 60026-5805 | |
| (312) 285-4729 | |
| Not Available |
| Full Name | Life Reset Solutions, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Janine Gauthier Mullady (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3122854729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Reset Solutions, P.c. 2675 N Greenwood Ave Arlington Heights IL 60004-8430 Ph: (312) 285-4729 | Life Reset Solutions, P.c. 3633 W Lake Ave Suite 404 Glenview IL 60026-5805 Ph: (312) 285-4729 |
| NPI Number | 1902243090 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 10/21/2013 |
| Medicare PECOS PAC ID | 7618110347 |
|---|---|
| Medicare Enrollment ID | O20130828000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902243090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 071006689 (Illinois) | Primary |
| Provider Name | Janine Gauthier Mullady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649495011 PECOS PAC ID: 6103989991 Enrollment ID: I20130828000926 |
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