| Breath Of Life Professional Services, Nfp, Inc. | |
|
2725 35th St Oak Brook IL 60523-2612 | |
| (630) 570-5299 | |
| (630) 570-5298 |
| Full Name | Breath Of Life Professional Services, Nfp, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2725 35th St, Oak Brook, Illinois |
| Authorized Official Name and Position | Jack Vincent Prato (EXECUIVE DIIRECTOR) |
| Authorized Official Contact | 6305705299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breath Of Life Professional Services, Nfp, Inc. 2725 35th St Oak Brook IL 60523-2612 Ph: (630) 570-5299 | Breath Of Life Professional Services, Nfp, Inc. 2725 35th St Oak Brook IL 60523-2612 Ph: (630) 570-5299 |
| NPI Number | 1861752776 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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