| Serene Health Ipa Medical Corp | |
|
16335 Harlem Ave Ste 300 Tinley Park IL 60477-2574 | |
| (773) 598-8723 | |
| (815) 846-5169 |
| Full Name | Serene Health Ipa Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 16335 Harlem Ave Ste 300, Tinley Park, Illinois |
| Authorized Official Name and Position | Oscar Medina (CEO) |
| Authorized Official Contact | 6192596999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Health Ipa Medical Corp 9265 Sky Park Ct Ste 100 San Diego CA 92123-4375 Ph: (619) 330-3640 | Serene Health Ipa Medical Corp 16335 Harlem Ave Ste 300 Tinley Park IL 60477-2574 Ph: (773) 598-8723 |
| NPI Number | 1265182992 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 0244652139 |
|---|---|
| Medicare Enrollment ID | O20240325001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265182992 | NPI | - | NPPES |
| Provider Name | Sarah Elizabeth Stitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386417103 PECOS PAC ID: 3072958461 Enrollment ID: I20240226000448 |
| Provider Name | Marc Genson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437547858 PECOS PAC ID: 8628443660 Enrollment ID: I20240227000443 |
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