| Mulso Associates Counseling, Ltd | |
|
2625 Butterfield Rd Suite 138s Oak Brook IL 60523-1234 | |
| (847) 338-6101 | |
| (847) 364-7974 |
| Full Name | Mulso Associates Counseling, Ltd |
|---|---|
| Speciality | Counselor |
| Location | 2625 Butterfield Rd, Oak Brook, Illinois |
| Authorized Official Name and Position | Nancy E Mulso (PRESIDENT) |
| Authorized Official Contact | 8473386101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulso Associates Counseling, Ltd 2625 Butterfield Rd Suite 138s Oak Brook IL 60523-1234 Ph: (847) 338-6101 | Mulso Associates Counseling, Ltd 2625 Butterfield Rd Suite 138s Oak Brook IL 60523-1234 Ph: (847) 338-6101 |
| NPI Number | 1003359340 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Medicare PECOS PAC ID | 7517320138 |
|---|---|
| Medicare Enrollment ID | O20230830001897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003359340 | NPI | - | NPPES |
| 325466306001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180002744 (Illinois) | Primary |
| Provider Name | Stephanie Kujawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245722008 PECOS PAC ID: 6406247378 Enrollment ID: I20220104000513 |
| Provider Name | Nancy E Mulso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124280938 PECOS PAC ID: 3971966599 Enrollment ID: I20240126002406 |
| Provider Name | Bryce Mulso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700343159 PECOS PAC ID: 4082060983 Enrollment ID: I20240130001324 |
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