Wunderlich Counseling & Consulting Ltd. | |
4160 Il Route 83 Ste 204 Long Grove IL 60047-8034 | |
(847) 380-4806 | |
Not Available |
Full Name | Wunderlich Counseling & Consulting Ltd. |
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Speciality | Counselor |
Location | 4160 Il Route 83 Ste 204, Long Grove, Illinois |
Authorized Official Name and Position | Raymond C Wunderlich (OWNER & PRESIDENT) |
Authorized Official Contact | 8473804806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wunderlich Counseling & Consulting Ltd. 318 W Half Day Road Pmb 284 Buffalo Grove IL 60089 Ph: (847) 380-4806 | Wunderlich Counseling & Consulting Ltd. 4160 Il Route 83 Ste 204 Long Grove IL 60047-8034 Ph: (847) 380-4806 |
NPI Number | 1265159115 |
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Provider Enumeration Date | 10/21/2022 |
Last Update Date | 10/21/2022 |
Certification Date | 10/21/2022 |
Medicare PECOS PAC ID | 3971956566 |
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Medicare Enrollment ID | O20240131000666 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265159115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Raymond C Wunderlich |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912038910 PECOS PAC ID: 4880047471 Enrollment ID: I20240131000749 |
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