| Life Synergy, Llc | |
|
13235 W Hiawatha Dr Homer Glen IL 60491-8637 | |
| (708) 927-2449 | |
| Not Available |
| Full Name | Life Synergy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13235 W Hiawatha Dr, Homer Glen, Illinois |
| Authorized Official Name and Position | Karen L Vachulcik (LICENSED CLINICAL PROF COUNSELOR) |
| Authorized Official Contact | 7089272449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Synergy, Llc 13235 W Hiawatha Dr Homer Glen IL 60491-8637 Ph: () - | Life Synergy, Llc 13235 W Hiawatha Dr Homer Glen IL 60491-8637 Ph: (708) 927-2449 |
| NPI Number | 1114332004 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114332004 | NPI | - | NPPES |
| 1265869986 | Other | IL | BCBS |
| 1265869986 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 30730 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180008797 (Illinois) | Primary |
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