| 360 Youth Services | |
|
1548 Bond St Ste 114 Naperville IL 60563-6509 | |
| (630) 717-9408 | |
| (630) 596-8496 |
| Full Name | 360 Youth Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1548 Bond St Ste 114, Naperville, Illinois |
| Authorized Official Name and Position | Jessica Kujawa (BILLER) |
| Authorized Official Contact | 6305417219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Youth Services 1548 Bond St Ste 114 Naperville IL 60563-6509 Ph: (630) 717-9408 | 360 Youth Services 1548 Bond St Ste 114 Naperville IL 60563-6509 Ph: (630) 717-9408 |
| NPI Number | 1336690239 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336690239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180010400 (Illinois) | Primary |
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