| Embolden Clinical Services | |
|
1755 S Naperville Rd Suite 100 Wheaton IL 60187-8144 | |
| (630) 510-3248 | |
| Not Available |
| Full Name | Embolden Clinical Services |
|---|---|
| Speciality | Psychologist |
| Location | 1755 S Naperville Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Dennis Randall Bowling (PRESIDENT) |
| Authorized Official Contact | 6305103248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embolden Clinical Services 1755 S Naperville Rd Suite 100 Wheaton IL 60187-8144 Ph: (630) 510-3248 | Embolden Clinical Services 1755 S Naperville Rd Suite 100 Wheaton IL 60187-8144 Ph: (630) 510-3248 |
| NPI Number | 1467643791 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467643791 | NPI | - | NPPES |
| 1043857 | Other | CIGNA | |
| 206272 | Other | MANAGED HEALTH NETWORK | |
| 02220198 | Other | BLUE CROSS BLUE SHIELD | |
| 144300 | Other | COMPSYCHE | |
| 5777746 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Illinois) | Primary |
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