| Kindness Institute, Llc | |
|
9405 Bormet Dr Ste 6 Mokena IL 60448-7400 | |
| (708) 290-9020 | |
| Not Available |
| Full Name | Kindness Institute, Llc |
|---|---|
| Speciality | Counselor |
| Location | 9405 Bormet Dr Ste 6, Mokena, Illinois |
| Authorized Official Name and Position | Gina Marie Smith (OWNER) |
| Authorized Official Contact | 7082099020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindness Institute, Llc 9405 Bormet Dr Ste 6 Mokena IL 60448-7400 Ph: (708) 290-9020 | Kindness Institute, Llc 9405 Bormet Dr Ste 6 Mokena IL 60448-7400 Ph: (708) 290-9020 |
| NPI Number | 1548905706 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 5698217875 |
|---|---|
| Medicare Enrollment ID | O20240603003022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548905706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Pawlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457528747 PECOS PAC ID: 7214109446 Enrollment ID: I20161108000880 |
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