| Systemic Wellness, P.c. | |
|
2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 | |
| (708) 609-7227 | |
| Not Available |
| Full Name | Systemic Wellness, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2081 Calistoga Dr Ste 2n, New Lenox, Illinois |
| Authorized Official Name and Position | Caitlin Suerth (OWNER) |
| Authorized Official Contact | 7085909870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Systemic Wellness, P.c. 2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 Ph: () - | Systemic Wellness, P.c. 2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 Ph: (708) 609-7227 |
| NPI Number | 1518697788 |
|---|---|
| Provider Enumeration Date | 06/12/2022 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Medicare PECOS PAC ID | 0547784217 |
|---|---|
| Medicare Enrollment ID | O20250403003713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518697788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael G Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598000630 PECOS PAC ID: 6204075401 Enrollment ID: I20130619000494 |
| Provider Name | Caitlin D Suerth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841625282 PECOS PAC ID: 3274057948 Enrollment ID: I20250403003733 |
| Provider Name | Monica Marie Molesky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144811308 PECOS PAC ID: 0941724132 Enrollment ID: I20250409001678 |
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