| Renew Therapy Llc | |
|
201 E Veterans Pkwy Yorkville IL 60560-1365 | |
| (630) 273-7606 | |
| Not Available |
| Full Name | Renew Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 201 E Veterans Pkwy, Yorkville, Illinois |
| Authorized Official Name and Position | Eileen O'neil (LCSW) |
| Authorized Official Contact | 6302737606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Therapy Llc 201 E Veterans Pkwy Yorkville IL 60560-1365 Ph: (630) 273-7606 | Renew Therapy Llc 201 E Veterans Pkwy Yorkville IL 60560-1365 Ph: (630) 273-7606 |
| NPI Number | 1598477697 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 2860863115 |
|---|---|
| Medicare Enrollment ID | O20230124001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598477697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eileen O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942746714 PECOS PAC ID: 0749679991 Enrollment ID: I20211110001082 |
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