| Creative One Studio, Inc. | |
|
501 S Harvard Ave Villa Park IL 60181-2808 | |
| (773) 318-7331 | |
| Not Available |
| Full Name | Creative One Studio, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 S Harvard Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Tracy Pualani Takaki (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7733187331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative One Studio, Inc. 501 S Harvard Ave Villa Park IL 60181-2808 Ph: (773) 318-7331 | Creative One Studio, Inc. 501 S Harvard Ave Villa Park IL 60181-2808 Ph: (773) 318-7331 |
| NPI Number | 1306084991 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 04/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306084991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180006573 (Illinois) | Primary |
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