| Acorn Health Of Illinois, Llc | |
|
6 Eagle Ctr Ste 1 O Fallon IL 62269-1945 | |
| (618) 206-8816 | |
| Not Available |
| Full Name | Acorn Health Of Illinois, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6 Eagle Ctr Ste 1, O Fallon, Illinois |
| Authorized Official Name and Position | Karen Arteaga (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 8442441818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Health Of Illinois, Llc 1500 S Douglas Rd # 230 Coral Gables FL 33134-4108 Ph: () - | Acorn Health Of Illinois, Llc 6 Eagle Ctr Ste 1 O Fallon IL 62269-1945 Ph: (618) 206-8816 |
| NPI Number | 1144867854 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144867854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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