Outlook Counseling Services Llc | |
10526 W Cermak Rd Westchester IL 60154-5249 | |
(708) 735-9081 | |
Not Available |
Full Name | Outlook Counseling Services Llc |
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Speciality | Social Worker |
Location | 10526 W Cermak Rd, Westchester, Illinois |
Authorized Official Name and Position | Jeanette De Marshimun (OWNER/LCSW) |
Authorized Official Contact | 3125976869 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Outlook Counseling Services Llc 10441 Canterbury St Westchester IL 60154-4269 Ph: (312) 597-6869 | Outlook Counseling Services Llc 10526 W Cermak Rd Westchester IL 60154-5249 Ph: (708) 735-9081 |
NPI Number | 1467970723 |
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Provider Enumeration Date | 09/06/2017 |
Last Update Date | 11/24/2022 |
Certification Date | 11/24/2022 |
Medicare PECOS PAC ID | 9032475827 |
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Medicare Enrollment ID | O20171110001467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467970723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jeanette Demarshimun |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447623285 PECOS PAC ID: 8426350695 Enrollment ID: I20160105001084 |
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