| Modus Operandi Llc | |
|
21 S Main St Unit A Elburn IL 60119-9194 | |
| (815) 761-4923 | |
| Not Available |
| Full Name | Modus Operandi Llc |
|---|---|
| Speciality | Counselor |
| Location | 21 S Main St Unit A, Elburn, Illinois |
| Authorized Official Name and Position | Brittany Male (OWNER) |
| Authorized Official Contact | 8157614923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modus Operandi Llc 43w195 Whirlaway Ct Elburn IL 60119-9554 Ph: (815) 761-4923 | Modus Operandi Llc 21 S Main St Unit A Elburn IL 60119-9194 Ph: (815) 761-4923 |
| NPI Number | 1821684986 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/11/2020 |
| Medicare PECOS PAC ID | 2062744253 |
|---|---|
| Medicare Enrollment ID | O20221206002173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821684986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brittany P Pagan-male |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275978728 PECOS PAC ID: 2264752377 Enrollment ID: I20150518000630 |
| Provider Name | Carolyn Wass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871224774 PECOS PAC ID: 5092184937 Enrollment ID: I20221215000511 |
| Provider Name | Hayley Marie Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679126742 PECOS PAC ID: 6709258379 Enrollment ID: I20230207003289 |
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