Patient Centered Care Partners Inc | |
333 Skokie Blvd Ste 107 Northbrook IL 60062-1622 | |
(224) 723-1196 | |
Not Available |
Full Name | Patient Centered Care Partners Inc |
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Speciality | Social Worker |
Location | 333 Skokie Blvd Ste 107, Northbrook, Illinois |
Authorized Official Name and Position | Patricia M Stern (PRESIDENT) |
Authorized Official Contact | 8473096239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Patient Centered Care Partners Inc 660 Gray Ave Highland Park IL 60035-4014 Ph: (847) 309-6239 | Patient Centered Care Partners Inc 333 Skokie Blvd Ste 107 Northbrook IL 60062-1622 Ph: (224) 723-1196 |
NPI Number | 1083133094 |
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Provider Enumeration Date | 09/12/2017 |
Last Update Date | 03/15/2021 |
Certification Date | 03/15/2021 |
Medicare PECOS PAC ID | 8123393576 |
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Medicare Enrollment ID | O20171011000408 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083133094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149005888 (Illinois) | Primary |
Provider Name | Patricia M Stern |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902329279 PECOS PAC ID: 6305111758 Enrollment ID: I20171011000572 |
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