Next Level Counseling Llc | |
180 N Michigan Ave Ste 2410 Chicago IL 60601-7471 | |
() - | |
Not Available |
Full Name | Next Level Counseling Llc |
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Speciality | Social Worker |
Location | 180 N Michigan Ave Ste 2410, Chicago, Illinois |
Authorized Official Name and Position | Daniel Allen Kobosky (OWNER) |
Authorized Official Contact | 3125058134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Next Level Counseling Llc 822 W Agatite Ave # 3 Chicago IL 60640-6102 Ph: (312) 505-8134 | Next Level Counseling Llc 180 N Michigan Ave Ste 2410 Chicago IL 60601-7471 Ph: () - |
NPI Number | 1104398767 |
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Provider Enumeration Date | 12/20/2018 |
Last Update Date | 12/20/2018 |
Medicare PECOS PAC ID | 9830434398 |
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Medicare Enrollment ID | O20190103000025 |
Identifier | Type | State | Issuer |
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1104398767 | NPI | - | NPPES |
1750614053 | Other | IL | NPI SOLO PRACTITIONER |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Daniel A Kobosky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750614053 PECOS PAC ID: 4183750300 Enrollment ID: I20190103000073 |
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