| Concilium Llc | |
|
2500 W Higgins Rd Ste 1130 Hoffman Estates IL 60169-7209 | |
| (847) 302-4492 | |
| (847) 302-4492 |
| Full Name | Concilium Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2500 W Higgins Rd Ste 1130, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Dennis R Humphrey (OWNER) |
| Authorized Official Contact | 8473024492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concilium Llc 2500 W Higgins Rd Ste 1130 Hoffman Estates IL 60169-7209 Ph: (847) 302-4492 | Concilium Llc 2500 W Higgins Rd Ste 1130 Hoffman Estates IL 60169-7209 Ph: (847) 302-4492 |
| NPI Number | 1346757721 |
|---|---|
| Provider Enumeration Date | 01/06/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346757721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180002680 (Illinois) | Primary |
| 101YP2500X | Counselor - Professional | 6501-125 (Wisconsin) | Secondary |
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