| Brightside Recovery Ltd | |
|
408 W Main St Ottawa IL 61350-2802 | |
| (708) 360-7022 | |
| Not Available |
| Full Name | Brightside Recovery Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 W Main St, Ottawa, Illinois |
| Authorized Official Name and Position | Jennifer Kilpatrick (MANAGER) |
| Authorized Official Contact | 2242201378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Recovery Ltd 333 Skokie Blvd Ste 112 Northbrook IL 60062-1624 Ph: (708) 360-7022 | Brightside Recovery Ltd 408 W Main St Ottawa IL 61350-2802 Ph: (708) 360-7022 |
| NPI Number | 1346965027 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346965027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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