| Dyann Inc | |
|
3624 W 216th Street Matteson IL 60443-2713 | |
| (708) 481-4080 | |
| (708) 481-7725 |
| Full Name | Dyann Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3624 W 216th Street, Matteson, Illinois |
| Authorized Official Name and Position | Dyann K Bockstahler (LICENSED CLINICAL SOCIAL WORKER PRE) |
| Authorized Official Contact | 7084814098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyann Inc 3624 W 216th Street Matteson IL 60443-2713 Ph: (708) 481-4080 | Dyann Inc 3624 W 216th Street Matteson IL 60443-2713 Ph: (708) 481-4080 |
| NPI Number | 1811073034 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811073034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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