| Micares | |
|
8643 S Marshfield Ave Chicago IL 60620-4846 | |
| (773) 239-8463 | |
| Not Available |
| Full Name | Micares |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8643 S Marshfield Ave, Chicago, Illinois |
| Authorized Official Name and Position | Michael Lamar Heard (MANAGER) |
| Authorized Official Contact | 7733168275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micares 8643 S. Marshfield Street Chicago IL 60620 Ph: (773) 239-8463 | Micares 8643 S Marshfield Ave Chicago IL 60620-4846 Ph: (773) 239-8463 |
| NPI Number | 1730431156 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 01/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730431156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149.006014 (Illinois) | Primary |
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