| Rosewatter Chicagoland Counseling Pllc | |
|
325 N Wells St Ste 329 Chicago IL 60654-7023 | |
| (312) 467-2163 | |
| Not Available |
| Full Name | Rosewatter Chicagoland Counseling Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 325 N Wells St Ste 329, Chicago, Illinois |
| Authorized Official Name and Position | Rachel Sarah Nitzarim (OWNER) |
| Authorized Official Contact | 3124672163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewatter Chicagoland Counseling Pllc 325 N Wells St Ste 329 Chicago IL 60654-7023 Ph: (312) 467-2163 | Rosewatter Chicagoland Counseling Pllc 325 N Wells St Ste 329 Chicago IL 60654-7023 Ph: (312) 467-2163 |
| NPI Number | 1841940269 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Medicare PECOS PAC ID | 1153717368 |
|---|---|
| Medicare Enrollment ID | O20220414001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841940269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Rachel Sarah Nitzarim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174059034 PECOS PAC ID: 8820346117 Enrollment ID: I20180802001374 |
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