| Progressive Clinical Therapies Ltd | |
|
305 San Carlos Rd Minooka IL 60447-9246 | |
| (815) 666-4543 | |
| Not Available |
| Full Name | Progressive Clinical Therapies Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 305 San Carlos Rd, Minooka, Illinois |
| Authorized Official Name and Position | Paulette C Trum (PROVIDER) |
| Authorized Official Contact | 8156664543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Clinical Therapies Ltd 305 San Carlos Rd Minooka IL 60447-9246 Ph: (815) 666-4543 | Progressive Clinical Therapies Ltd 305 San Carlos Rd Minooka IL 60447-9246 Ph: (815) 666-4543 |
| NPI Number | 1043857949 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Medicare PECOS PAC ID | 6305271057 |
|---|---|
| Medicare Enrollment ID | O20200127001745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043857949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paulette C Trum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467473462 PECOS PAC ID: 4789753518 Enrollment ID: I20080520000676 |
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