Entourage Clinical Services, Inc is a
Counselor - Professional based in Mundelein, Illinois. Entourage Clinical Services, Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
697 S Lake St, Mundelein, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 406-0789.
NPI number for Entourage Clinical Services, Inc is 1740728500 and their current mailing address is 37 Burnett Ave, Lake Villa, Illinois. Entourage Clinical Services, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1740728500.
Healthcare Provider's Profile
| Full Name | Entourage Clinical Services, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 697 S Lake St, Mundelein, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740728500
- Provider Enumeration Date: 02/01/2017
- Last Update Date: 02/23/2017
Medical Identifiers
Medical identifiers for Entourage Clinical Services, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740728500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 163WG0000X | Registered Nurse - General Practice | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 172P00000X | Naprapath | (* (Not Available)) | Secondary |
| 174V00000X | Clinical Ethicist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Entourage Clinical Services, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Entourage Clinical Services, Inc
37 Burnett Ave,
Lake Villa, IL 60046-8670
Ph: (847) 393-5646 | Entourage Clinical Services, Inc
697 S Lake St,
Mundelein, IL 60060-3658
Ph: (847) 406-0789 |
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