| Katelyn Dircks | |
|
8 Heritage Dr Bourbonnais IL 60914-2514 | |
| (708) 743-1136 | |
| Not Available |
| Full Name | Katelyn Dircks |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8 Heritage Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Katelyn E Dircks (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7087431136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Dircks 1135 Guinevere Ln Bourbonnais IL 60914-9784 Ph: (708) 743-1136 | Katelyn Dircks 8 Heritage Dr Bourbonnais IL 60914-2514 Ph: (708) 743-1136 |
| NPI Number | 1306427083 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306427083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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