| S.i.s & Associates | |
|
19624 Governors Hwy Ste 2 Flossmoor IL 60422-2086 | |
| (708) 746-5454 | |
| (708) 330-0018 |
| Full Name | S.i.s & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 19624 Governors Hwy Ste 2, Flossmoor, Illinois |
| Authorized Official Name and Position | Jasmine Studway (OWNER/MEMBER) |
| Authorized Official Contact | 7087465454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.i.s & Associates 19624 Governors Hwy Ste 2 Flossmoor IL 60422-2086 Ph: (708) 746-5454 | S.i.s & Associates 19624 Governors Hwy Ste 2 Flossmoor IL 60422-2086 Ph: (708) 746-5454 |
| NPI Number | 1467105916 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 6709244031 |
|---|---|
| Medicare Enrollment ID | O20230620000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467105916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jasmine Studway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730663089 PECOS PAC ID: 0244698579 Enrollment ID: I20230620001016 |
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