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NPI Code Detail

MEDICARE: HOME REMEDY CHICAGO

MEDICARE: HOME REMEDY CHICAGO
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
1101YM0800XMental Health Counselor166000863IL

General Provider Information

NPI Number : 1992114128
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME REMEDY CHICAGO
Provider Business Mailing Address
First Line : 931 N MOZART ST
Second Line : UNIT #4
City : CHICAGO
State : IL
Zip : 60622-4423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 931 N MOZART ST
Second Line : UNIT #4
City : CHICAGO
State : IL
Zip : 60622-4423
Country : US
Telephone Number : 773-899-0097
Fax Number :
Authorized Official
Title or Position : LMFT
Name : DANIELLE SINES
Credential :
Telephone Number : 773-899-0097
Provider Enumeration Date : 08/13/2014
Last Update Date : 08/13/2014

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Directions to “HOME REMEDY CHICAGO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.