| Melissa Simonek Ltd | |
|
11516 183rd Pl Ste Ne Orland Park IL 60467-9473 | |
| (708) 285-4116 | |
| Not Available |
| Full Name | Melissa Simonek Ltd |
|---|---|
| Speciality | Counselor |
| Location | 11516 183rd Pl Ste Ne, Orland Park, Illinois |
| Authorized Official Name and Position | Melissa Simonek (OWNER) |
| Authorized Official Contact | 7082854116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Simonek Ltd 11516 183rd Pl Ste Ne Orland Park IL 60467-9473 Ph: (708) 285-4116 | Melissa Simonek Ltd 11516 183rd Pl Ste Ne Orland Park IL 60467-9473 Ph: (708) 285-4116 |
| NPI Number | 1386343622 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/25/2023 |
| Medicare PECOS PAC ID | 4385086578 |
|---|---|
| Medicare Enrollment ID | O20240520001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386343622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melissa Ann Simonek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740820760 PECOS PAC ID: 6002258290 Enrollment ID: I20240520001995 |
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