| Sedona Center For Well Being P.c. | |
|
311 S 2nd St St Charles IL 60174-2863 | |
| (630) 797-5133 | |
| (630) 549-1019 |
| Full Name | Sedona Center For Well Being P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 311 S 2nd St, St Charles, Illinois |
| Authorized Official Name and Position | Melissa J. Hill (PRESIDENT) |
| Authorized Official Contact | 3125506929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedona Center For Well Being P.c. 311 S 2nd St St Charles IL 60174-2863 Ph: (630) 797-5133 | Sedona Center For Well Being P.c. 311 S 2nd St St Charles IL 60174-2863 Ph: (630) 797-5133 |
| NPI Number | 1063795763 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 04/04/2021 |
| Certification Date | 04/04/2021 |
| Medicare PECOS PAC ID | 7416289533 |
|---|---|
| Medicare Enrollment ID | O20191023000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063795763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149006213 (Illinois) | Primary |
| Provider Name | Melissa J Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467734178 PECOS PAC ID: 2961763545 Enrollment ID: I20180221003100 |
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