| Cognitive Pathways | |
|
2504 Washington St Suite 403 Waukegan IL 60085-4983 | |
| (224) 733-1615 | |
| (224) 733-1620 |
| Full Name | Cognitive Pathways |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2504 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | David R Stiver (DIRECTOR / MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2247331615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Pathways 2504 Washington St Suite 403 Waukegan IL 60085-4983 Ph: (224) 733-1615 | Cognitive Pathways 2504 Washington St Suite 403 Waukegan IL 60085-4983 Ph: (224) 733-1615 |
| NPI Number | 1043690555 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043690555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180008203 (Illinois) | Primary |
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