Center For Authentic Living | |
120 Main St Suite 200 Park Ridge IL 60068-4044 | |
(847) 668-4859 | |
Not Available |
Full Name | Center For Authentic Living |
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Speciality | Counselor - Mental Health |
Location | 120 Main St, Park Ridge, Illinois |
Authorized Official Name and Position | Mari Richko (OWNER) |
Authorized Official Contact | 8476684869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Authentic Living 120 Main St Suite 200 Park Ridge IL 60068-4044 Ph: (847) 668-4859 | Center For Authentic Living 120 Main St Suite 200 Park Ridge IL 60068-4044 Ph: (847) 668-4859 |
NPI Number | 1417318700 |
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Provider Enumeration Date | 03/14/2016 |
Last Update Date | 03/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417318700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1326241860 (Illinois) | Primary |
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