| Pathway To Peace Nfp | |
|
9510 S Constance Ave Ste C-6 Chicago IL 60617-4700 | |
| (312) 898-7358 | |
| (312) 444-0793 |
| Full Name | Pathway To Peace Nfp |
|---|---|
| Speciality | Social Worker |
| Location | 9510 S Constance Ave Ste C-6, Chicago, Illinois |
| Authorized Official Name and Position | Lindoria C Storey (THERAPIST) |
| Authorized Official Contact | 3128987358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Peace Nfp 23831 S Kurt Ln Crete IL 60417-1737 Ph: (312) 898-7358 | Pathway To Peace Nfp 9510 S Constance Ave Ste C-6 Chicago IL 60617-4700 Ph: (312) 898-7358 |
| NPI Number | 1861818122 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 08/07/2019 |
| Medicare PECOS PAC ID | 1557688116 |
|---|---|
| Medicare Enrollment ID | O20150320000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861818122 | NPI | - | NPPES |
| 32264879201 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindoria C Storey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255731121 PECOS PAC ID: 1456678010 Enrollment ID: I20150320000344 |
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