| Urban Wellness, Ltd. | |
|
6601 N Avondale Ave Ste 101 Chicago IL 60631-1567 | |
| (773) 774-4444 | |
| (773) 774-4447 |
| Full Name | Urban Wellness, Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 6601 N Avondale Ave Ste 101, Chicago, Illinois |
| Authorized Official Name and Position | Maureen Werrbach (OWNER) |
| Authorized Official Contact | 7737744444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Wellness, Ltd. 6601 N Avondale Ave 101 Chicago IL 60631-1572 Ph: (773) 774-4444 | Urban Wellness, Ltd. 6601 N Avondale Ave Ste 101 Chicago IL 60631-1567 Ph: (773) 774-4444 |
| NPI Number | 1942565353 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0648536045 |
|---|---|
| Medicare Enrollment ID | O20171116002700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942565353 | NPI | - | NPPES |
| Provider Name | Heidi Kalman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124424445 PECOS PAC ID: 3072878586 Enrollment ID: I20180605000799 |
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