| Family Service Association Of Greater Elgin Area | |
|
1752 Capital St Ste 100 Elgin IL 60124-7896 | |
| (847) 695-3680 | |
| (847) 695-4552 |
| Full Name | Family Service Association Of Greater Elgin Area |
|---|---|
| Speciality | Clinic/Center |
| Location | 1752 Capital St Ste 100, Elgin, Illinois |
| Authorized Official Name and Position | Bernadette May (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8476953680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Association Of Greater Elgin Area 1752 Capital St Elgin IL 60124-7896 Ph: (847) 695-3680 | Family Service Association Of Greater Elgin Area 1752 Capital St Ste 100 Elgin IL 60124-7896 Ph: (847) 695-3680 |
| NPI Number | 1235283441 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3173938305 |
|---|---|
| Medicare Enrollment ID | O20210323001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235283441 | NPI | - | NPPES |
| Provider Name | Bernadette Mary May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194059279 PECOS PAC ID: 2860688348 Enrollment ID: I20101123000494 |
| Provider Name | Shay L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013472455 PECOS PAC ID: 7810238755 Enrollment ID: I20190403000567 |
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