| Restoring Wellness Clinical Services, Pllc | |
|
200 S Frontage Rd Ste 320 Burr Ridge IL 60527-6953 | |
| (630) 337-8006 | |
| (630) 581-5984 |
| Full Name | Restoring Wellness Clinical Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 200 S Frontage Rd Ste 320, Burr Ridge, Illinois |
| Authorized Official Name and Position | Andrea Michelle Graves (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6303378006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Wellness Clinical Services, Pllc 200 S Frontage Rd Ste 320 Burr Ridge IL 60527-6953 Ph: (630) 337-8006 | Restoring Wellness Clinical Services, Pllc 200 S Frontage Rd Ste 320 Burr Ridge IL 60527-6953 Ph: (630) 337-8006 |
| NPI Number | 1457990343 |
|---|---|
| Provider Enumeration Date | 12/25/2019 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Medicare PECOS PAC ID | 3274954722 |
|---|---|
| Medicare Enrollment ID | O20200609001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457990343 | NPI | - | NPPES |
| Provider Name | Ann C Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689813792 PECOS PAC ID: 0244385094 Enrollment ID: I20090901000181 |
| Provider Name | Melissa Ann Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306387253 PECOS PAC ID: 5294089355 Enrollment ID: I20181108002635 |
| Provider Name | Andrea Michelle Graves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609150960 PECOS PAC ID: 4284959164 Enrollment ID: I20200609001310 |
| Provider Name | Melissa Heinemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538644018 PECOS PAC ID: 8820341753 Enrollment ID: I20210525002697 |
| Provider Name | Nora Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780018358 PECOS PAC ID: 2860837069 Enrollment ID: I20240227004438 |
| Provider Name | Jessica L. Kush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811450208 PECOS PAC ID: 8527403617 Enrollment ID: I20240228003019 |
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