| Evolve Healing And Wellness Center | |
|
579 N 1st Bank Dr Ste 150 Palatine IL 60067-8102 | |
| (312) 945-7566 | |
| Not Available |
| Full Name | Evolve Healing And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 579 N 1st Bank Dr Ste 150, Palatine, Illinois |
| Authorized Official Name and Position | Kari Alysse Weiterschan (PRACTICE OWNER/MANAGER) |
| Authorized Official Contact | 3129457566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Healing And Wellness Center 579 N 1st Bank Dr Ste 150 Palatine IL 60067-8102 Ph: (312) 945-7566 | Evolve Healing And Wellness Center 579 N 1st Bank Dr Ste 150 Palatine IL 60067-8102 Ph: (312) 945-7566 |
| NPI Number | 1841945870 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 9931562352 |
|---|---|
| Medicare Enrollment ID | O20230831002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841945870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kari Alysse Weiterschan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598438608 PECOS PAC ID: 6800284910 Enrollment ID: I20211022000059 |
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