| Community Clinic Center, Ltd | |
|
666 Russel Ct Suite 105 Woodstock IL 60098-2670 | |
| (815) 338-7749 | |
| (815) 338-7728 |
| Full Name | Community Clinic Center, Ltd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 666 Russel Ct, Woodstock, Illinois |
| Authorized Official Name and Position | Robert L Meyer (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8153387749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic Center, Ltd 666 Russel Ct Suite 105 Woodstock IL 60098-2670 Ph: (815) 338-7749 | Community Clinic Center, Ltd 666 Russel Ct Suite 105 Woodstock IL 60098-2670 Ph: (815) 338-7749 |
| NPI Number | 1881878494 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881878494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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