| Blending Families | |
|
800 Main St Suite 5 Antioch IL 60002-1542 | |
| (847) 838-9904 | |
| (847) 838-9907 |
| Full Name | Blending Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Main St, Antioch, Illinois |
| Authorized Official Name and Position | Kathleen Angell (OWNER) |
| Authorized Official Contact | 8478389904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blending Families 800 Main St Suite 5 Antioch IL 60002-1542 Ph: (847) 838-9904 | Blending Families 800 Main St Suite 5 Antioch IL 60002-1542 Ph: (847) 838-9904 |
| NPI Number | 1386025484 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386025484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180005858 (Illinois) | Primary |
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