| Chw | |
|
303 Andrews Dr Suite 303 Belvidere IL 61008-3918 | |
| (815) 765-0444 | |
| Not Available |
| Full Name | Chw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 303 Andrews Dr, Belvidere, Illinois |
| Authorized Official Name and Position | Karol A Faurie (PRESIDENT/CEO) |
| Authorized Official Contact | 8157650444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chw 303 Andrews Dr Suite 303 Belvidere IL 61008-3918 Ph: (815) 765-0444 | Chw 303 Andrews Dr Suite 303 Belvidere IL 61008-3918 Ph: (815) 765-0444 |
| NPI Number | 1831473917 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831473917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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