| In1 Inc. | |
|
242 N York St # 505 Elmhurst IL 60126-2716 | |
| (331) 642-0801 | |
| (312) 561-6939 |
| Full Name | In1 Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 242 N York St # 505, Elmhurst, Illinois |
| Authorized Official Name and Position | Joseph Spagnola (PRESIDENT) |
| Authorized Official Contact | 3316420810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In1 Inc. 242 N York St # 505 Elmhurst IL 60126-2716 Ph: (331) 642-0801 | In1 Inc. 242 N York St # 505 Elmhurst IL 60126-2716 Ph: (331) 642-0801 |
| NPI Number | 1255139309 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 8426571720 |
|---|---|
| Medicare Enrollment ID | O20250327001661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255139309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph A Spagnola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649760083 PECOS PAC ID: 9436408150 Enrollment ID: I20180814001031 |
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