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 |
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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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