| Crete-monee School District 201u | |
|
1500 S Sangamon St Crete IL 60417-2831 | |
| (708) 367-8355 | |
| Not Available |
| Full Name | Crete-monee School District 201u |
|---|---|
| Speciality | Psychologist - School |
| Location | 1500 S Sangamon St, Crete, Illinois |
| Authorized Official Name and Position | Adamantia Dina Leftakis (PSYCHOLOGIST) |
| Authorized Official Contact | 7083678355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crete-monee School District 201u 1500 S Sangamon St Crete IL 60417-2831 Ph: (708) 367-8355 | Crete-monee School District 201u 1500 S Sangamon St Crete IL 60417-2831 Ph: (708) 367-8355 |
| NPI Number | 1528783321 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528783321 | NPI | - | NPPES |
| 62 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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