| Pam Mcquaid Lcsw Llc | |
|
512 W Burlington Ave Ste 3 La Grange IL 60525-2225 | |
| (708) 639-1693 | |
| Not Available |
| Full Name | Pam Mcquaid Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 W Burlington Ave Ste 3, La Grange, Illinois |
| Authorized Official Name and Position | Pam Mcquaid (OWNER, LCSW) |
| Authorized Official Contact | 7086391693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pam Mcquaid Lcsw Llc 512 W Burlington Ave Ste 3 La Grange IL 60525-2225 Ph: (708) 639-1693 | Pam Mcquaid Lcsw Llc 512 W Burlington Ave Ste 3 La Grange IL 60525-2225 Ph: (708) 639-1693 |
| NPI Number | 1285460907 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 6406382357 |
|---|---|
| Medicare Enrollment ID | O20241216001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285460907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pamela Mcquaid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891904504 PECOS PAC ID: 3072746197 Enrollment ID: I20140425000640 |
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