| Reclaim13 | |
|
2200 South Main Street Suite 113 Lombard IL 60148 | |
| (630) 209-4554 | |
| Not Available |
| Full Name | Reclaim13 |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2200 South Main Street Suite 113, Lombard, Illinois |
| Authorized Official Name and Position | Whitney Mcmahan (CLINICAL THERAPIST) |
| Authorized Official Contact | 6302094554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaim13 2200 S Main St Ste 306 Lombard IL 60148-5366 Ph: (630) 209-4554 | Reclaim13 2200 South Main Street Suite 113 Lombard IL 60148 Ph: (630) 209-4554 |
| NPI Number | 1447936398 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447936398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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