| More Abundant Living Institute, P.c. | |
|
19516 Northwinds Dr Lynwood IL 60411-8660 | |
| (708) 799-5862 | |
| (708) 799-0138 |
| Full Name | More Abundant Living Institute, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 19516 Northwinds Dr, Lynwood, Illinois |
| Authorized Official Name and Position | Rosetta Webb (PRESIDENT) |
| Authorized Official Contact | 7087995862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| More Abundant Living Institute, P.c. 19516 Northwinds Dr Lynwood IL 60411-8660 Ph: (708) 799-5862 | More Abundant Living Institute, P.c. 19516 Northwinds Dr Lynwood IL 60411-8660 Ph: (708) 799-5862 |
| NPI Number | 1902038417 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Medicare PECOS PAC ID | 1557408002 |
|---|---|
| Medicare Enrollment ID | O20091102000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902038417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Provider Name | Tuesday April Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245538925 PECOS PAC ID: 7315112380 Enrollment ID: I20111202000768 |
| Provider Name | Freda Hardaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154691582 PECOS PAC ID: 7113187592 Enrollment ID: I20120321000730 |
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