| Breaking Free | |
|
800 W 5th Ave Suite 102 B Naperville IL 60563-8965 | |
| (630) 355-2585 | |
| (630) 355-2676 |
| Full Name | Breaking Free |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 W 5th Ave, Naperville, Illinois |
| Authorized Official Name and Position | Kim Cacciato (BILLING SPECIALIST) |
| Authorized Official Contact | 6305728228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free 800 W 5th Ave Suite 102 B Naperville IL 60563-8965 Ph: (630) 355-2585 | Breaking Free 800 W 5th Ave Suite 102 B Naperville IL 60563-8965 Ph: (630) 355-2585 |
| NPI Number | 1700923927 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700923927 | NPI | - | NPPES |
| 0380 | Other | IL | DASA PROVIDER NUMBER |
| 1839 | Other | IL | BLUE CROSS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-0380-0004-A (Illinois) | Primary |
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