| Sacred Spaces, Inc | |
|
380 W Palatine Rd Suite 6 Wheeling IL 60090-5831 | |
| (847) 947-7646 | |
| (847) 947-7645 |
| Full Name | Sacred Spaces, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 380 W Palatine Rd, Wheeling, Illinois |
| Authorized Official Name and Position | Maria A Caruso (PRESIDENT) |
| Authorized Official Contact | 8479477646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Spaces, Inc 380 W Palatine Rd Suite 6 Wheeling IL 60090-5831 Ph: (847) 947-7646 | Sacred Spaces, Inc 380 W Palatine Rd Suite 6 Wheeling IL 60090-5831 Ph: (847) 947-7646 |
| NPI Number | 1720040595 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720040595 | NPI | - | NPPES |
| 4932184 | Other | IL | BCBSIL PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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