| Center For Authentic Living, Inc. | |
|
120 Main Street Suite 200 Park Ridge IL 60068 | |
| (847) 668-4869 | |
| (847) 728-5313 |
| Full Name | Center For Authentic Living, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 120 Main Street Suite 200, Park Ridge, Illinois |
| Authorized Official Name and Position | Mary M Schnitzius-richko (PRESIDENT) |
| Authorized Official Contact | 8476684869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Authentic Living, Inc. 120 Main Street Suite 200 Park Ridge IL 60068 Ph: (847) 668-4869 | Center For Authentic Living, Inc. 120 Main Street Suite 200 Park Ridge IL 60068 Ph: (847) 668-4869 |
| NPI Number | 1972142198 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972142198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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