Life Solutions | |
1500 E Lincoln Hwy Ste 1 Dekalb IL 60115-3990 | |
(779) 777-7933 | |
(630) 566-3323 |
Full Name | Life Solutions |
---|---|
Speciality | Counselor |
Location | 1500 E Lincoln Hwy Ste 1, Dekalb, Illinois |
Authorized Official Name and Position | Margo Milano (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7792018006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Life Solutions 1500 E. Lincoln Hwy Ste 1 1500 Dekalb IL 60115 Ph: (779) 201-8006 | Life Solutions 1500 E Lincoln Hwy Ste 1 Dekalb IL 60115-3990 Ph: (779) 777-7933 |
NPI Number | 1720462799 |
---|---|
Provider Enumeration Date | 07/19/2015 |
Last Update Date | 12/19/2022 |
Certification Date | 12/19/2022 |
Medicare PECOS PAC ID | 7214307784 |
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Medicare Enrollment ID | O20221227000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720462799 | NPI | - | NPPES |
1609117019 | Other | IL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.006446 (Illinois) | Primary |
101YP2500X | Counselor - Professional | 180.006446 (Illinois) | Secondary |
Provider Name | Katherine Elizabeth Siembab |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598485377 PECOS PAC ID: 9830569219 Enrollment ID: I20221229000549 |
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