| Blue Bird Therapy | |
|
488 N Main St Apt 2n Glen Ellyn IL 60137-5126 | |
| (847) 845-5698 | |
| Not Available |
| Full Name | Blue Bird Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 488 N Main St Apt 2n, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Leslie Duff (THERAPIST) |
| Authorized Official Contact | 8478455698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Bird Therapy 488 N Main St Apt 2n Glen Ellyn IL 60137-5126 Ph: () - | Blue Bird Therapy 488 N Main St Apt 2n Glen Ellyn IL 60137-5126 Ph: (847) 845-5698 |
| NPI Number | 1245983394 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245983394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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