| Common Boundary Wellness Center | |
|
1495 Northrock Ct Rockford IL 61103-1233 | |
| (815) 965-1817 | |
| (815) 965-9574 |
| Full Name | Common Boundary Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1495 Northrock Ct, Rockford, Illinois |
| Authorized Official Name and Position | Renee A Mcardle (MANAGING PARTNER) |
| Authorized Official Contact | 8159651817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Boundary Wellness Center 1495 Northrock Ct Rockford IL 61103-1233 Ph: (815) 965-1817 | Common Boundary Wellness Center 1495 Northrock Ct Rockford IL 61103-1233 Ph: (815) 965-1817 |
| NPI Number | 1619189594 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619189594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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