| Center For Enriched Living | |
|
280 Saunders Rd. Riverwoods IL 60015 | |
| (847) 315-9888 | |
| (847) 948-7621 |
| Full Name | Center For Enriched Living |
|---|---|
| Speciality | Social Worker |
| Location | 280 Saunders Rd., Riverwoods, Illinois |
| Authorized Official Name and Position | Emma Louise Burton-loder (MANAGER OF RVFRC) |
| Authorized Official Contact | 8473159888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Enriched Living 280 Saunders Rd. Riverwoods IL 60015 Ph: (847) 315-9888 | Center For Enriched Living 280 Saunders Rd. Riverwoods IL 60015 Ph: (847) 315-9888 |
| NPI Number | 1639681653 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 9436515632 |
|---|---|
| Medicare Enrollment ID | O20230512002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639681653 | NPI | - | NPPES |
| Provider Name | Emma Louise Burton-loder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841991544 PECOS PAC ID: 0345606547 Enrollment ID: I20230525002234 |
| Provider Name | Jenna Vangalis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790461499 PECOS PAC ID: 6204295090 Enrollment ID: I20230712000056 |
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