Total Wellness Partners, Pllc | |
2609 Thistle Ln Wauconda IL 60084-5091 | |
(847) 208-4018 | |
Not Available |
Full Name | Total Wellness Partners, Pllc |
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Speciality | Social Worker |
Location | 2609 Thistle Ln, Wauconda, Illinois |
Authorized Official Name and Position | Stephanie Tintner (OWNER) |
Authorized Official Contact | 8472084018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Total Wellness Partners, Pllc 2609 Thistle Ln Wauconda IL 60084-5091 Ph: (847) 208-4018 | Total Wellness Partners, Pllc 2609 Thistle Ln Wauconda IL 60084-5091 Ph: (847) 208-4018 |
NPI Number | 1124753504 |
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Provider Enumeration Date | 07/20/2022 |
Last Update Date | 07/20/2022 |
Certification Date | 07/20/2022 |
Medicare PECOS PAC ID | 8921456260 |
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Medicare Enrollment ID | O20231128001849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124753504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Stephanie M Tintner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720666357 PECOS PAC ID: 2062811136 Enrollment ID: I20210521000153 |
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