| A & K Child Guidance Center, Inc. | |
|
200 E Evergreen Ave Ste 123 Mt Prospect IL 60056-3294 | |
| (630) 337-2897 | |
| Not Available |
| Full Name | A & K Child Guidance Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 E Evergreen Ave Ste 123, Mt Prospect, Illinois |
| Authorized Official Name and Position | Mohammed Ali (SHARE HOLDER) |
| Authorized Official Contact | 6303372893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A & K Child Guidance Center, Inc. 200 E Evergreen Ave Ste 123 Mt Prospect IL 60056-3294 Ph: (630) 337-2893 | A & K Child Guidance Center, Inc. 200 E Evergreen Ave Ste 123 Mt Prospect IL 60056-3294 Ph: (630) 337-2897 |
| NPI Number | 1841438975 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Medicare PECOS PAC ID | 1254460512 |
|---|---|
| Medicare Enrollment ID | O20100525000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841438975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 036.119188 (Illinois) | Primary |
| Provider Name | Mohammed T Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033215868 PECOS PAC ID: 1456432160 Enrollment ID: I20080121000069 |
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