| Alcorn Clinical | |
|
637 Lake Rd Glen Ellyn IL 60137-4249 | |
| (708) 243-2894 | |
| Not Available |
| Full Name | Alcorn Clinical |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 637 Lake Rd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Charles E Alcorn (PRESIDENT) |
| Authorized Official Contact | 7082432894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcorn Clinical 715 Highland Ave Glen Ellyn IL 60137-3821 Ph: (708) 243-2894 | Alcorn Clinical 637 Lake Rd Glen Ellyn IL 60137-4249 Ph: (708) 243-2894 |
| NPI Number | 1154141141 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154141141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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