| Aid | |
|
525 N Edgelawn Dr Aurora IL 60506-4327 | |
| (630) 801-1109 | |
| Not Available |
| Full Name | Aid |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 525 N Edgelawn Dr, Aurora, Illinois |
| Authorized Official Name and Position | Kelly L Ramirez (MHP) |
| Authorized Official Contact | 6309664000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aid 309 New Indian Trail Ct Aurora IL 60506-2411 Ph: (630) 966-4000 | Aid 525 N Edgelawn Dr Aurora IL 60506-4327 Ph: (630) 801-1109 |
| NPI Number | 1801577556 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801577556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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