| Heuristic Quest Headquarters | |
|
1222 W. 95th St Chicago IL 60643-1408 | |
| (773) 238-5555 | |
| (773) 238-5533 |
| Full Name | Heuristic Quest Headquarters |
|---|---|
| Speciality | Rehabilitation, Substance Use Disorder Unit |
| Location | 1222 W. 95th St, Chicago, Illinois |
| Authorized Official Name and Position | Paulette R. Eason-williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7732385555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heuristic Quest Headquarters 1708 W Beverly Glen Pkwy Chicago IL 60643-1408 Ph: (773) 238-5555 | Heuristic Quest Headquarters 1222 W. 95th St Chicago IL 60643-1408 Ph: (773) 238-5555 |
| NPI Number | 1063822823 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Medicare PECOS PAC ID | 7517493703 |
|---|---|
| Medicare Enrollment ID | O20241211002777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063822823 | NPI | - | NPPES |
| A-7476-0001-A | Other | IL | SUPR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | (* (Not Available)) | Primary |
| Provider Name | Paulette R Eason-williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962415406 PECOS PAC ID: 7214300771 Enrollment ID: I20240318003205 |
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