| Center For Change & Healing | |
|
11s230 S Jackson St Ste 104 Burr Ridge IL 60527-7099 | |
| (630) 712-6042 | |
| Not Available |
| Full Name | Center For Change & Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11s230 S Jackson St Ste 104, Burr Ridge, Illinois |
| Authorized Official Name and Position | Kevin Kell (DIRECTOR OF INFORMATION) |
| Authorized Official Contact | 6308496212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Change & Healing 11s230 S Jackson St Ste 104 Burr Ridge IL 60527-7099 Ph: (630) 712-6042 | Center For Change & Healing 11s230 S Jackson St Ste 104 Burr Ridge IL 60527-7099 Ph: (630) 712-6042 |
| NPI Number | 1003570565 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003570565 | NPI | - | NPPES |
| 1003335076 | Other | IL | NPI |
| 1174883862 | Other | IL | NPI |
| 1023595238 | Other | IL | NPI |
| 1598036386 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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