| Patricia Harthun Lcpc Ltd | |
|
10725 S Western Ave 2nd Floor Chicago IL 60643-3135 | |
| (312) 835-7976 | |
| (773) 239-9857 |
| Full Name | Patricia Harthun Lcpc Ltd |
|---|---|
| Speciality | Counselor |
| Location | 10725 S Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Patricia Harthun (OWNER) |
| Authorized Official Contact | 3128357976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Harthun Lcpc Ltd 10725 S Western Ave 2nd Floor Chicago IL 60643-3135 Ph: (312) 835-7976 | Patricia Harthun Lcpc Ltd 10725 S Western Ave 2nd Floor Chicago IL 60643-3135 Ph: (312) 835-7976 |
| NPI Number | 1710360458 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 2163866005 |
|---|---|
| Medicare Enrollment ID | O20240219001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710360458 | NPI | - | NPPES |
| 1306866132 | Other | SOLE PRACTIONER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005415 (Illinois) | Primary |
| Provider Name | Patricia Joan Harthun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306866132 PECOS PAC ID: 9436163888 Enrollment ID: I20240219001799 |
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