| Community Service Council | |
|
440 Quadrangle Dr Ste C Bolingbrook IL 60440-3455 | |
| (815) 886-5000 | |
| Not Available |
| Full Name | Community Service Council |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 440 Quadrangle Dr Ste C, Bolingbrook, Illinois |
| Authorized Official Name and Position | Robert Kalnicky (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8158865000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Council 440 Quadrangle Dr Ste C Bolingbrook IL 60440-3455 Ph: (815) 886-5000 | Community Service Council 440 Quadrangle Dr Ste C Bolingbrook IL 60440-3455 Ph: (815) 886-5000 |
| NPI Number | 1316438831 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316438831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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