Village Christian Counseling | |
5757 S Madison St Hinsdale IL 60521-8116 | |
(708) 246-8695 | |
Not Available |
Full Name | Village Christian Counseling |
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Speciality | Social Worker |
Location | 5757 S Madison St, Hinsdale, Illinois |
Authorized Official Name and Position | Edward Mchugh (PRESIDENT) |
Authorized Official Contact | 7082468695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Village Christian Counseling 5757 S Madison St Hinsdale IL 60521-8116 Ph: (708) 246-8695 | Village Christian Counseling 5757 S Madison St Hinsdale IL 60521-8116 Ph: (708) 246-8695 |
NPI Number | 1558477810 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 04/13/2012 |
Medicare PECOS PAC ID | 1052480852 |
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Medicare Enrollment ID | O20080520000497 |
Identifier | Type | State | Issuer |
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1558477810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 149-009877 (Illinois) | Primary |
Provider Name | Edward P Mchugh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841215845 PECOS PAC ID: 8527137322 Enrollment ID: I20080520000471 |
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