| Core Therapy, Inc, | |
|
533 S 5th St West Dundee IL 60118-2842 | |
| (630) 621-0414 | |
| (630) 961-3499 |
| Full Name | Core Therapy, Inc, |
|---|---|
| Speciality | Behavior Analyst |
| Location | 533 S 5th St, West Dundee, Illinois |
| Authorized Official Name and Position | Natasha Ann Radnovich (PRESIDENT) |
| Authorized Official Contact | 6306210414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Therapy, Inc, 533 S 5th St West Dundee IL 60118-2842 Ph: (630) 621-0414 | Core Therapy, Inc, 533 S 5th St West Dundee IL 60118-2842 Ph: (630) 621-0414 |
| NPI Number | 1861995003 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861995003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-28527 (Illinois) | Primary |
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