| Grow Wellness Group | |
|
200 E 5th Ave Ste 109 Naperville IL 60563-3173 | |
| (331) 305-4009 | |
| Not Available |
| Full Name | Grow Wellness Group |
|---|---|
| Speciality | Counselor |
| Location | 200 E 5th Ave Ste 109, Naperville, Illinois |
| Authorized Official Name and Position | Wendy Hayum-gross (PYSCHOTHERAPIST/CO-OWNER) |
| Authorized Official Contact | 3313054009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Wellness Group 200 E 5th Ave Ste 109 Naperville IL 60563-3173 Ph: (331) 305-4009 | Grow Wellness Group 200 E 5th Ave Ste 109 Naperville IL 60563-3173 Ph: (331) 305-4009 |
| NPI Number | 1023665999 |
|---|---|
| Provider Enumeration Date | 08/24/2019 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 3971910530 |
|---|---|
| Medicare Enrollment ID | O20210325002583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023665999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Mary M Ihnenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194856054 PECOS PAC ID: 1850477100 Enrollment ID: I20080326000787 |
| Provider Name | Elizabeth A Herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619051299 PECOS PAC ID: 4981893351 Enrollment ID: I20110117000169 |
| Provider Name | Kristin K Clifford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265804330 PECOS PAC ID: 7719281294 Enrollment ID: I20160203000838 |
| Provider Name | Julie A Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083068100 PECOS PAC ID: 2860748100 Enrollment ID: I20180628003170 |
| Provider Name | Adam Ratner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023426848 PECOS PAC ID: 4880001445 Enrollment ID: I20210325002619 |
| Provider Name | Susan Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285309666 PECOS PAC ID: 4587069778 Enrollment ID: I20211015000898 |
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