| 247dct Llc | |
|
343 N Wood Dale Rd # 201a Wood Dale IL 60191-1578 | |
| (773) 817-5928 | |
| Not Available |
| Full Name | 247dct Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 343 N Wood Dale Rd # 201a, Wood Dale, Illinois |
| Authorized Official Name and Position | Wajahatuddin Macci (OWNER) |
| Authorized Official Contact | 7738175928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 247dct Llc 343 N Wood Dale Rd # 201a Wood Dale IL 60191-1578 Ph: (773) 817-5928 | 247dct Llc 343 N Wood Dale Rd # 201a Wood Dale IL 60191-1578 Ph: (773) 817-5928 |
| NPI Number | 1013621523 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013621523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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