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901 Biesterfield Rd Ste 110 Elk Grove Village IL 60007-3393 | |
| (630) 303-6825 | |
| (630) 658-0313 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 901 Biesterfield Rd Ste 110, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Muhammad Imran Alvi (PRESIDENT) |
| Authorized Official Contact | 6303036825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5s681 Park Meadow Dr Naperville IL 60540-3854 Ph: (630) 303-6825 | 901 Biesterfield Rd Ste 110 Elk Grove Village IL 60007-3393 Ph: (630) 303-6825 |
| NPI Number | 1871231282 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871231282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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