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409 Illinois Ave Unit 1a St Charles IL 60174-2966 | |
| (630) 377-5200 | |
| (630) 513-6892 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 409 Illinois Ave Unit 1a, St Charles, Illinois |
| Authorized Official Name and Position | Pauline Rochfort (BILLING DIRECTOR) |
| Authorized Official Contact | 8476950484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1845 Grandstand Pl Elgin IL 60123-6603 Ph: (847) 695-0484 | 409 Illinois Ave Unit 1a St Charles IL 60174-2966 Ph: (630) 377-5200 |
| NPI Number | 1730576596 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730576596 | NPI | - | NPPES |
| 04050 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cheryl Davidson Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 N 2nd St, St Charles, IL 60174 Phone: 847-450-8139 Fax: 630-358-6935 | |
Alter Clinical Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Illinois St Ste 200, St Charles, IL 60174 Phone: 847-971-6941 | |
Growing Awareness Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1336 Geneva Rd, St Charles, IL 60174 Phone: 815-414-2056 | |
Sedona Center For Well Being P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S 2nd St, St Charles, IL 60174 Phone: 630-797-5133 Fax: 630-549-1019 | |
From The Heart Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 N 4th St, St Charles, IL 60174 Phone: 630-300-1502 Fax: 630-300-1502 |