| First Responders Wellness Center, Llc | |
|
477 E Butterfield Rd #204 Lombard IL 60148-5618 | |
| (630) 909-9094 | |
| Not Available |
| Full Name | First Responders Wellness Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 477 E Butterfield Rd, Lombard, Illinois |
| Authorized Official Name and Position | Carrie L Steiner (FOUNDER/LCP) |
| Authorized Official Contact | 6309099094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Responders Wellness Center, Llc 477 E Butterfield Rd #204 Lombard IL 60148-5618 Ph: (630) 909-9094 | First Responders Wellness Center, Llc 477 E Butterfield Rd #204 Lombard IL 60148-5618 Ph: (630) 909-9094 |
| NPI Number | 1417408303 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 05/03/2017 |
| Medicare PECOS PAC ID | 1759778228 |
|---|---|
| Medicare Enrollment ID | O20220502001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417408303 | NPI | - | NPPES |
| F300208691 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008311 (Illinois) | Primary |
| Provider Name | Carrie L Steiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528333408 PECOS PAC ID: 7719142157 Enrollment ID: I20120710000048 |
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