| Brooke Ruxton Phd Llc | |
|
2385 Stoughton Cir Aurora IL 60502-6478 | |
| (515) 508-9992 | |
| Not Available |
| Full Name | Brooke Ruxton Phd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2385 Stoughton Cir, Aurora, Illinois |
| Authorized Official Name and Position | Brooke Ruxton (OWNER) |
| Authorized Official Contact | 5155089992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Ruxton Phd Llc 2385 Stoughton Cir Aurora IL 60502-6478 Ph: (515) 508-9992 | Brooke Ruxton Phd Llc 2385 Stoughton Cir Aurora IL 60502-6478 Ph: (515) 508-9992 |
| NPI Number | 1518449602 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518449602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 071.007643 (Illinois) | Primary |
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