1331 Post Oak Ct #1333 | |
1331 Post Oak Ct # 1333 Cresthill IL 60403 | |
(815) 741-7042 | |
Not Available |
Full Name | 1331 Post Oak Ct #1333 |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1331 Post Oak Ct # 1333, Cresthill, Illinois |
Authorized Official Name and Position | Benjamin Stortz (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 8157417042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1331 Post Oak Ct #1333 1331 Post Oak Ct # 1333 Cresthill IL 60403-3194 Ph: (815) 741-7042 | 1331 Post Oak Ct #1333 1331 Post Oak Ct # 1333 Cresthill IL 60403 Ph: (815) 741-7042 |
NPI Number | 1811165053 |
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Provider Enumeration Date | 02/11/2008 |
Last Update Date | 04/17/2020 |
Certification Date | 04/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811165053 | NPI | - | NPPES |
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