| Conventions Psychiatry & Counseling | |
|
4s 100 Route 59 Unit 6 Naperville IL 60563 | |
| (630) 416-8289 | |
| Not Available |
| Full Name | Conventions Psychiatry & Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4s 100 Route 59, Naperville, Illinois |
| Authorized Official Name and Position | Krista L Lane (PRACTICE MANAGER) |
| Authorized Official Contact | 6304168289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conventions Psychiatry & Counseling 2915 Dorothy Dr Aurora IL 60504-7520 Ph: (630) 898-7133 | Conventions Psychiatry & Counseling 4s 100 Route 59 Unit 6 Naperville IL 60563 Ph: (630) 416-8289 |
| NPI Number | 1588789994 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588789994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 149011145 (Illinois) | Primary |
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