Brightside Clinic | |
8041 186th St Suite B Tinley Park IL 60487-9343 | |
(708) 292-0044 | |
Not Available |
Full Name | Brightside Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8041 186th St, Tinley Park, 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: () - | Brightside Clinic 8041 186th St Suite B Tinley Park IL 60487-9343 Ph: (708) 292-0044 |
NPI Number | 1629514120 |
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Provider Enumeration Date | 01/09/2017 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629514120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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