| Ben Gordon Center | |
|
12 Health Services Dr Dekalb IL 60115-9637 | |
| (815) 756-4875 | |
| Not Available |
| Full Name | Ben Gordon Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 Health Services Dr, Dekalb, Illinois |
| Authorized Official Name and Position | Cheryl Munkvold (HUMAN RESOURCES) |
| Authorized Official Contact | 8157564875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Gordon Center 12 Health Services Dr Dekalb IL 60115-9637 Ph: (815) 756-4875 | Ben Gordon Center 12 Health Services Dr Dekalb IL 60115-9637 Ph: (815) 756-4875 |
| NPI Number | 1164847430 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164847430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MSW (Illinois) | Primary |
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