Peace Centered Wholeness | |
2938 E. 91st Suite 208 Chicago IL 60617-3868 | |
(312) 401-5507 | |
(888) 419-3986 |
Full Name | Peace Centered Wholeness |
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Speciality | Counselor - Mental Health |
Location | 2938 E. 91st, Chicago, Illinois |
Authorized Official Name and Position | Orlando Davis (CEO) |
Authorized Official Contact | 8884170274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peace Centered Wholeness 2938 E. 91st Street Suite 208 Chicago IL 60617-3868 Ph: (888) 417-0274 | Peace Centered Wholeness 2938 E. 91st Suite 208 Chicago IL 60617-3868 Ph: (312) 401-5507 |
NPI Number | 1467860643 |
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Provider Enumeration Date | 07/31/2014 |
Last Update Date | 07/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467860643 | NPI | - | NPPES |
IL8875 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149015621 (Illinois) | Primary |
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