| Resonate & Elevate Llc | |
|
4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 | |
| (312) 801-5100 | |
| Not Available |
| Full Name | Resonate & Elevate Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4320 Winfield Rd Ste 200, Warrenville, Illinois |
| Authorized Official Name and Position | Starlene Kelley (OWNER) |
| Authorized Official Contact | 3128015100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resonate & Elevate Llc 2288 Margaret Dr Montgomery IL 60538-5015 Ph: (630) 673-8202 | Resonate & Elevate Llc 4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 Ph: (312) 801-5100 |
| NPI Number | 1306401849 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 3678816055 |
|---|---|
| Medicare Enrollment ID | O20190529000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306401849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Starlene M Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487959847 PECOS PAC ID: 5597934588 Enrollment ID: I20110809000148 |
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