| Trinity Services Inc. | |
|
62 W Washington St Joliet IL 60432 | |
| (815) 722-4384 | |
| (815) 722-4390 |
| Full Name | Trinity Services Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 62 W Washington St, Joliet, Illinois |
| Authorized Official Name and Position | Bob Taylor (CFO) |
| Authorized Official Contact | 8153207190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Services Inc. 301 Veterans Pkwy New Lenox IL 60451-2899 Ph: (815) 485-6197 | Trinity Services Inc. 62 W Washington St Joliet IL 60432 Ph: (815) 722-4384 |
| NPI Number | 1902086861 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 8527060466 |
|---|---|
| Medicare Enrollment ID | O20080521000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902086861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 180005943 (Illinois) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | George E Miguel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174591010 PECOS PAC ID: 7315907086 Enrollment ID: I20041018000023 |
| Provider Name | Rajeev Malhotra |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1194753491 PECOS PAC ID: 1759473036 Enrollment ID: I20070816000075 |
| Provider Name | Rakeshkumar S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660903 PECOS PAC ID: 0749506970 Enrollment ID: I20150306001119 |
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