| Wholistic Care, Inc | |
|
311 Merton Ave Glen Ellyn IL 60137-5203 | |
| (630) 790-9488 | |
| (630) 545-3630 |
| Full Name | Wholistic Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 Merton Ave, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Jean Marie Tschampa Lopotko (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6307909488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Care, Inc 311 Merton Ave Glen Ellyn IL 60137-5203 Ph: (630) 790-9488 | Wholistic Care, Inc 311 Merton Ave Glen Ellyn IL 60137-5203 Ph: (630) 790-9488 |
| NPI Number | 1295294700 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 3870944325 |
|---|---|
| Medicare Enrollment ID | O20240109001784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295294700 | NPI | - | NPPES |
| 1952767733 | Other | IL | MENTAL HEALTH COUNSELOR |
| Provider Name | Jean Marie Tschampa Lopotko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922325729 PECOS PAC ID: 9638308711 Enrollment ID: I20240109002015 |
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