| Have Dreams | |
|
515 Busse Hwy 150 Park Ridge IL 60068-3154 | |
| (847) 685-0250 | |
| (847) 685-0257 |
| Full Name | Have Dreams |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 515 Busse Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Kris Johnsen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8476850250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Have Dreams 515 Busse Hwy 150 Park Ridge IL 60068-3154 Ph: (847) 685-0250 | Have Dreams 515 Busse Hwy 150 Park Ridge IL 60068-3154 Ph: (847) 685-0250 |
| NPI Number | 1568743482 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Medicare PECOS PAC ID | 2769911627 |
|---|---|
| Medicare Enrollment ID | O20250122003474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568743482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lora Slutsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912532672 PECOS PAC ID: 1759810617 Enrollment ID: I20250122003524 |
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