Brightside Clinic | |
1667 Belvidere Rd Belvidere IL 61008-9306 | |
(224) 205-7863 | |
(224) 205-7865 |
Full Name | Brightside Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1667 Belvidere Rd, Belvidere, Illinois |
Authorized Official Name and Position | Philip Atteberry (CEO) |
Authorized Official Contact | 2242057868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brightside Clinic 333 Skokie Blvd Ste 112 Northbrook IL 60062-1624 Ph: (224) 205-7863 | Brightside Clinic 1667 Belvidere Rd Belvidere IL 61008-9306 Ph: (224) 205-7863 |
NPI Number | 1518568062 |
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Provider Enumeration Date | 11/02/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518568062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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