Cognitive Pathways | |
2504 Washington St Suite 403 Waukegan IL 60085-4983 | |
(224) 733-1615 | |
(224) 733-1620 |
Full Name | Cognitive Pathways |
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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 |
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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 |
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Provider Enumeration Date | 06/01/2015 |
Last Update Date | 11/18/2015 |
Identifier | Type | State | Issuer |
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1043690555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180008203 (Illinois) | Primary |
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