| Nancy R Krtek, Lcsw, Counseling And Consultation Pllc | |
|
473 Dunham Rd Ste 216 St Charles IL 60174-1423 | |
| (716) 359-6402 | |
| Not Available |
| Full Name | Nancy R Krtek, Lcsw, Counseling And Consultation Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 473 Dunham Rd Ste 216, St Charles, Illinois |
| Authorized Official Name and Position | Nancy R Krtek (CEO) |
| Authorized Official Contact | 7163596402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy R Krtek, Lcsw, Counseling And Consultation Pllc 473 Dunham Rd Ste 216 St Charles IL 60174-1423 Ph: (716) 359-6402 | Nancy R Krtek, Lcsw, Counseling And Consultation Pllc 473 Dunham Rd Ste 216 St Charles IL 60174-1423 Ph: (716) 359-6402 |
| NPI Number | 1134775885 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 09/16/2019 |
| Medicare PECOS PAC ID | 7618209461 |
|---|---|
| Medicare Enrollment ID | O20191028000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134775885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy R Krtek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013040005 PECOS PAC ID: 0244314011 Enrollment ID: I20140407000425 |
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