| Compassionate Edge | |
|
75 Executive Dr Ste 337 Aurora IL 60504-8152 | |
| (331) 444-2618 | |
| Not Available |
| Full Name | Compassionate Edge |
|---|---|
| Speciality | Counselor - Professional |
| Location | 75 Executive Dr Ste 337, Aurora, Illinois |
| Authorized Official Name and Position | Regina Rogers (PRESIDENT) |
| Authorized Official Contact | 3314442618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Edge 75 Executive Dr Ste 337 Aurora IL 60504-8152 Ph: (331) 444-2618 | Compassionate Edge 75 Executive Dr Ste 337 Aurora IL 60504-8152 Ph: (331) 444-2618 |
| NPI Number | 1730598848 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/10/2021 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730598848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007828 (Illinois) | Primary |
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