| Brightside Clinic | |
|
1667 Belvidere Rd Belvidere IL 61008-9306 | |
| (224) 205-7863 | |
| (224) 205-7865 |
| Full Name | Brightside Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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