| Mosaic Group Llc | |
|
8300 Callie Ave Unit 405 Morton Grove IL 60053-3722 | |
| (312) 799-9351 | |
| Not Available |
| Full Name | Mosaic Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8300 Callie Ave Unit 405, Morton Grove, Illinois |
| Authorized Official Name and Position | Veronica Vyazovsky (PRESIDENT) |
| Authorized Official Contact | 3127999351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Group Llc 8300 Callie Ave Unit 405 Morton Grove IL 60053-3722 Ph: (312) 799-9351 | Mosaic Group Llc 8300 Callie Ave Unit 405 Morton Grove IL 60053-3722 Ph: (312) 799-9351 |
| NPI Number | 1982198891 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982198891 | NPI | - | NPPES |
| 348827170001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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