| Good Hope Counseling Pc | |
|
2200 S Main St Ste 303 Lombard IL 60148-5366 | |
| (773) 350-8456 | |
| Not Available |
| Full Name | Good Hope Counseling Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2200 S Main St Ste 303, Lombard, Illinois |
| Authorized Official Name and Position | Anne Tumborello Lcsw Cadc (OWNER) |
| Authorized Official Contact | 7733508456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Hope Counseling Pc 2200 S Main St Ste 303 Lombard IL 60148-5366 Ph: (773) 350-8456 | Good Hope Counseling Pc 2200 S Main St Ste 303 Lombard IL 60148-5366 Ph: (773) 350-8456 |
| NPI Number | 1770028300 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 4789949348 |
|---|---|
| Medicare Enrollment ID | O20180531001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770028300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.015527 (Illinois) | Primary |
| Provider Name | Anne Roupas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992058077 PECOS PAC ID: 2860757424 Enrollment ID: I20180531002009 |
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