| Neuroworks Therapeutic Interventions & Consulting | |
|
5113 S Harper Ave Ste 2042 Chicago IL 60615-4119 | |
| (773) 524-0042 | |
| Not Available |
| Full Name | Neuroworks Therapeutic Interventions & Consulting |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5113 S Harper Ave Ste 2042, Chicago, Illinois |
| Authorized Official Name and Position | Tashauna L Waters (OWNER) |
| Authorized Official Contact | 7735240042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroworks Therapeutic Interventions & Consulting 5035 S East End Ave Apt 807n Chicago IL 60615-0105 Ph: (773) 524-0042 | Neuroworks Therapeutic Interventions & Consulting 5113 S Harper Ave Ste 2042 Chicago IL 60615-4119 Ph: (773) 524-0042 |
| NPI Number | 1366182552 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 0244602753 |
|---|---|
| Medicare Enrollment ID | O20230209002659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366182552 | NPI | - | NPPES |
| Provider Name | Tashauna Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912580358 PECOS PAC ID: 1153793666 Enrollment ID: I20230209002748 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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