MEDICARE: HUMAN ENHANCEMENT SERVICES NFP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1710907555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN ENHANCEMENT SERVICES NFP

Provider Business Mailing Address
First Line	:	4936 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3142
Country	:	US
Telephone Number	:	773-379-2023
Fax Number	:

Provider Business Practice Location Address
First Line	:	4936 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3142
Country	:	US
Telephone Number	:	773-379-2023
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. CARMENCITA GARCIA SENSENG
Credential	:
Telephone Number	:	773-379-2023

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/22/2020

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Directions to “HUMAN ENHANCEMENT SERVICES NFP ” Practice Location

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