| Compassionate Awareness Therapy | |
|
3057 N Rockwell St Unit 237 Chicago IL 60618 | |
| (773) 270-1055 | |
| Not Available |
| Full Name | Compassionate Awareness Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 3057 N Rockwell St Unit 237, Chicago, Illinois |
| Authorized Official Name and Position | David Carbajal (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7732701055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Awareness Therapy 3057 N Rockwell St Unit 237 Chicago IL 60618-7917 Ph: (773) 270-1055 | Compassionate Awareness Therapy 3057 N Rockwell St Unit 237 Chicago IL 60618 Ph: (773) 270-1055 |
| NPI Number | 1427628312 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 8729470414 |
|---|---|
| Medicare Enrollment ID | O20220107001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427628312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Carbajal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215331103 PECOS PAC ID: 8820333693 Enrollment ID: I20181224000370 |
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