| Bmsc Us Llc | |
|
10204 Bode St Ste B Plainfield IL 60585-9813 | |
| (855) 241-7160 | |
| (954) 324-8354 |
| Full Name | Bmsc Us Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10204 Bode St Ste B, Plainfield, Illinois |
| Authorized Official Name and Position | Benjamin Smith (OWNER) |
| Authorized Official Contact | 3109897992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmsc Us Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 | Bmsc Us Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 |
| NPI Number | 1487144713 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 7618323254 |
|---|---|
| Medicare Enrollment ID | O20231102000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487144713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477613750 PECOS PAC ID: 0547362196 Enrollment ID: I20160428002152 |
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