| Ascension Health | |
|
1414 Main St Melrose Park IL 60160-3902 | |
| (708) 681-0073 | |
| Not Available |
| Full Name | Ascension Health |
|---|---|
| Speciality | Behavior Technician |
| Location | 1414 Main St, Melrose Park, Illinois |
| Authorized Official Name and Position | Normita Nicole Donaldson (BEHAVIORAL HEALTH TECH) |
| Authorized Official Contact | 7738424042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Health 1414 Main St Melrose Park IL 60160-3902 Ph: (708) 681-0073 | Ascension Health 1414 Main St Melrose Park IL 60160-3902 Ph: (708) 681-0073 |
| NPI Number | 1851077325 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851077325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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