| Adultchildrencenterltd | |
|
2 E 22nd St 302 Lombard IL 60148-4976 | |
| (630) 495-2014 | |
| (630) 495-2249 |
| Full Name | Adultchildrencenterltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2 E 22nd St, Lombard, Illinois |
| Authorized Official Name and Position | Dene T Stamas (PRESIDENT) |
| Authorized Official Contact | 6304952014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adultchildrencenterltd 2 E 22nd St 302 Lombard IL 60148-4976 Ph: (630) 495-2014 | Adultchildrencenterltd 2 E 22nd St 302 Lombard IL 60148-4976 Ph: (630) 495-2014 |
| NPI Number | 1063638401 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063638401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1800001417 (Illinois) | Primary |
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