| Blending Families, Inc | |
|
800 Main St Antioch IL 60002-1542 | |
| (847) 838-9904 | |
| (847) 838-9907 |
| Full Name | Blending Families, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 800 Main St, Antioch, Illinois |
| Authorized Official Name and Position | Katie Angel (OWNER) |
| Authorized Official Contact | 8478389904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blending Families, Inc 800 Main St Antioch IL 60002-1542 Ph: (847) 838-9904 | Blending Families, Inc 800 Main St Antioch IL 60002-1542 Ph: (847) 838-9904 |
| NPI Number | 1801808696 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801808696 | NPI | - | NPPES |
| 04932457 | Other | IL | BLUE CROSS/SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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