| Advantage Group Foundation, Ltd | |
|
422 Tag Way Crystal Lake IL 60014-6288 | |
| (815) 444-6400 | |
| (815) 444-6816 |
| Full Name | Advantage Group Foundation, Ltd |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 422 Tag Way, Crystal Lake, Illinois |
| Authorized Official Name and Position | Michelle Kalemba (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 8154446400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Group Foundation, Ltd 422 Tag Way Crystal Lake IL 60014-6288 Ph: (815) 444-6400 | Advantage Group Foundation, Ltd 422 Tag Way Crystal Lake IL 60014-6288 Ph: (815) 444-6400 |
| NPI Number | 1699848135 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699848135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0834 (Illinois) | Primary |
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