Mosaic Wholeness Center Llc | |
4200 Euclid Ave Ste 104 Rolling Meadows IL 60008-2083 | |
(847) 917-9974 | |
Not Available |
Full Name | Mosaic Wholeness Center Llc |
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Speciality | Counselor - Professional |
Location | 4200 Euclid Ave Ste 104, Rolling Meadows, Illinois |
Authorized Official Name and Position | Luis San Roman (OWNER OF PRACTICE) |
Authorized Official Contact | 5123686408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mosaic Wholeness Center Llc 4200 Euclid Ave Ste 104 Rolling Meadows IL 60008-2083 Ph: (847) 917-9974 | Mosaic Wholeness Center Llc 4200 Euclid Ave Ste 104 Rolling Meadows IL 60008-2083 Ph: (847) 917-9974 |
NPI Number | 1245110782 |
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Provider Enumeration Date | 09/04/2025 |
Last Update Date | 09/04/2025 |
Certification Date | 09/04/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245110782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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