Alishia S Mercherson | |
730 E 163rd Pl South Holland IL 60473-2305 | |
(773) 425-4355 | |
Not Available |
Full Name | Alishia S Mercherson |
---|---|
Speciality | Community/behavioral Health |
Location | 730 E 163rd Pl, South Holland, Illinois |
Authorized Official Name and Position | Alishia S Mercherson (MENTAL HEALTH SERVICE PROVIDER) |
Authorized Official Contact | 7734254355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alishia S Mercherson 730 E 163rd Pl South Holland IL 60473-2305 Ph: (773) 425-4355 | Alishia S Mercherson 730 E 163rd Pl South Holland IL 60473-2305 Ph: (773) 425-4355 |
NPI Number | 1760830954 |
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Provider Enumeration Date | 05/27/2016 |
Last Update Date | 05/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760830954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180.008998 (Illinois) | Primary |
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