| Celebi Inc | |
|
1510 Clayton Marsh Dr Lake In The Hills IL 60156-1034 | |
| (708) 203-0202 | |
| Not Available |
| Full Name | Celebi Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1510 Clayton Marsh Dr, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Alia Elshaer (PRESIDENT) |
| Authorized Official Contact | 7082030202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebi Inc 1510 Clayton Marsh Dr Lake In The Hills IL 60156-1034 Ph: (708) 203-0202 | Celebi Inc 1510 Clayton Marsh Dr Lake In The Hills IL 60156-1034 Ph: (708) 203-0202 |
| NPI Number | 1669137659 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 8224408943 |
|---|---|
| Medicare Enrollment ID | O20221221001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669137659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alia Elshaer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043511264 PECOS PAC ID: 1759751480 Enrollment ID: I20221221001388 |
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