| Adventure Works Of Dekalb County, Inc. | |
|
1211 Sycamore Rd Dekalb IL 60115-2484 | |
| (815) 517-0825 | |
| Not Available |
| Full Name | Adventure Works Of Dekalb County, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1211 Sycamore Rd, Dekalb, Illinois |
| Authorized Official Name and Position | Lynette Spencer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8478678936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Works Of Dekalb County, Inc. 1211 Sycamore Rd Dekalb IL 60115-2484 Ph: (815) 517-0825 | Adventure Works Of Dekalb County, Inc. 1211 Sycamore Rd Dekalb IL 60115-2484 Ph: (815) 517-0825 |
| NPI Number | 1821386236 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 06/21/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821386236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149007034 (Illinois) | Primary |
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