| Altasano Pc | |
|
7432 Hancock Dr Wonder Lake IL 60097-9200 | |
| (815) 307-6717 | |
| (833) 523-2350 |
| Full Name | Altasano Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7432 Hancock Dr, Wonder Lake, Illinois |
| Authorized Official Name and Position | Deena C Schwartz (PRESIDENT) |
| Authorized Official Contact | 8153076717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altasano Pc 7432 Hancock Dr Wonder Lake IL 60097-9200 Ph: (815) 307-6717 | Altasano Pc 7432 Hancock Dr Wonder Lake IL 60097-9200 Ph: (815) 307-6717 |
| NPI Number | 1285403253 |
|---|---|
| Provider Enumeration Date | 01/01/2024 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 5991226516 |
|---|---|
| Medicare Enrollment ID | O20250311002268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285403253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Deena C Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770792194 PECOS PAC ID: 3476713793 Enrollment ID: I20250317002154 |
On Course Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 Howe Rd, Wonder Lake, IL 60097 Phone: 815-529-1295 |