| Mrk Healing Llc | |
|
1845 E Rand Rd 106 Arlington Heights IL 60004-4356 | |
| (773) 984-9672 | |
| Not Available |
| Full Name | Mrk Healing Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1845 E Rand Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Mitchell R. Kupferberg (CEO) |
| Authorized Official Contact | 7739849672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrk Healing Llc 302 N Pine Ave 3e Arlington Heights IL 60004-6168 Ph: (773) 984-9672 | Mrk Healing Llc 1845 E Rand Rd 106 Arlington Heights IL 60004-4356 Ph: (773) 984-9672 |
| NPI Number | 1366987836 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Medicare PECOS PAC ID | 2769763614 |
|---|---|
| Medicare Enrollment ID | O20170109000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366987836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.018685 (Illinois) | Primary |
| Provider Name | Mitchell Kupferberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295156834 PECOS PAC ID: 3678854528 Enrollment ID: I20170109000471 |
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