| Resource Education Center Network Inc | |
|
400 W 71st St Chicago IL 60621-3034 | |
| (773) 756-1917 | |
| Not Available |
| Full Name | Resource Education Center Network Inc |
|---|---|
| Speciality | Counselor |
| Location | 400 W 71st St, Chicago, Illinois |
| Authorized Official Name and Position | Erica Pugh (OWNER, LCPC) |
| Authorized Official Contact | 7737561917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resource Education Center Network Inc 1024 E 46th St Apt 1w Chicago IL 60653-3631 Ph: (773) 756-1917 | Resource Education Center Network Inc 400 W 71st St Chicago IL 60621-3034 Ph: (773) 756-1917 |
| NPI Number | 1942956644 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 0244675544 |
|---|---|
| Medicare Enrollment ID | O20240227000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942956644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Erica Alise Pugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952074726 PECOS PAC ID: 2062857360 Enrollment ID: I20240227000332 |
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