| Patricia Nolan Lcsw Llc | |
|
400 Vine St Wilmette IL 60091-3132 | |
| (312) 953-7807 | |
| Not Available |
| Full Name | Patricia Nolan Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Vine St, Wilmette, Illinois |
| Authorized Official Name and Position | Patricia Nolan (OWNER) |
| Authorized Official Contact | 7739838143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Nolan Lcsw Llc 400 Vine St Wilmette IL 60091-3132 Ph: () - | Patricia Nolan Lcsw Llc 400 Vine St Wilmette IL 60091-3132 Ph: (312) 953-7807 |
| NPI Number | 1871198044 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 4880093079 |
|---|---|
| Medicare Enrollment ID | O20210519003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871198044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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