| This Is The Life For Me Llc | |
|
5000 W Ribbon Drive Monee IL 60449 | |
| (773) 593-0920 | |
| Not Available |
| Full Name | This Is The Life For Me Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5000 W Ribbon Drive, Monee, Illinois |
| Authorized Official Name and Position | Jasmine Ouedraogo (CEO) |
| Authorized Official Contact | 7735930920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| This Is The Life For Me Llc 5000 W Ribbon Drive Monee IL 60449 Ph: (773) 593-0920 | This Is The Life For Me Llc 5000 W Ribbon Drive Monee IL 60449 Ph: (773) 593-0920 |
| NPI Number | 1194532879 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194532879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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