| Oswego Wellness, Inc | |
|
64 Main St Oswego IL 60543-9893 | |
| (630) 519-1010 | |
| (630) 405-7209 |
| Full Name | Oswego Wellness, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 64 Main St, Oswego, Illinois |
| Authorized Official Name and Position | Heather Ann Johnson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6305191010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego Wellness, Inc 64 Main St Oswego IL 60543-9893 Ph: (630) 519-1010 | Oswego Wellness, Inc 64 Main St Oswego IL 60543-9893 Ph: (630) 519-1010 |
| NPI Number | 1912373069 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 3274899844 |
|---|---|
| Medicare Enrollment ID | O20171115000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912373069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mary M Ihnenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194856054 PECOS PAC ID: 1850477100 Enrollment ID: I20080326000787 |
| Provider Name | Amanda E Comer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619513645 PECOS PAC ID: 5799118436 Enrollment ID: I20191210002568 |
| Provider Name | Alicia Noyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154917201 PECOS PAC ID: 0941614853 Enrollment ID: I20210203002215 |
| Provider Name | Amy Brinkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124132998 PECOS PAC ID: 2163838491 Enrollment ID: I20210310001799 |
| Provider Name | Kristen Rexha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265027452 PECOS PAC ID: 3173930401 Enrollment ID: I20210401001206 |
| Provider Name | Derick P Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154903920 PECOS PAC ID: 8527469030 Enrollment ID: I20210622000906 |
| Provider Name | Melissa Pilar Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972078350 PECOS PAC ID: 5890152722 Enrollment ID: I20230607002010 |
| Provider Name | Lauren Marasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295515039 PECOS PAC ID: 7719333608 Enrollment ID: I20231030000930 |
| Provider Name | Brianne Kalusniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497454078 PECOS PAC ID: 1557718764 Enrollment ID: I20231109002092 |
| Provider Name | Elise Pullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366229361 PECOS PAC ID: 7416304639 Enrollment ID: I20231109002329 |
| Provider Name | Stephanie Cuevas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831760545 PECOS PAC ID: 5991244980 Enrollment ID: I20240821004655 |
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