OrganizationThe Willow Center For Integrative Health Pllc(<Unavail>)Social WorkerBehavioral Health & Social Service ProvidersPractice Address3543 N Pulaski Rd, Chicago, IL 60641-3945(312) 504-7567PECOS EnrollmentBased on the most recent information from CMS, provider The Willow Center For Integrative Health Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134733868Provider TypeOrganizationFull NameThe Willow Center For Integrative Health PllcOther Name<Unavail>SubpartNoEnumeration Date9/1/2020Last Updated4/13/2022Contact InformationPractice LocationPractice Address3543 N Pulaski Rd, Chicago, IL 60641-3945Phone(312) 504-7567Fax(312) 448-8574Mailing LocationMailing Address3543 N Pulaski Rd, Chicago, IL 60641-3945Phone(312) 504-7567Fax(312) 448-8574Authorized OfficialNameSmith, Sarah Lindsay (Manager)Phone(312) 504-7567Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103TC0700XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1184941437DescriptionOtherIssuerNPIIllinoisID1194197749DescriptionOtherIssuerNPIIllinoisID1073022547DescriptionOtherIssuerNPIIllinoisID1457822801DescriptionOtherIssuerNPIIllinois