Emerge And See Psychonautics, Pllc | |
2905 Plantation Dr Carpentersville IL 60110-3293 | |
(312) 206-3099 | |
Not Available |
Full Name | Emerge And See Psychonautics, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2905 Plantation Dr, Carpentersville, Illinois |
Authorized Official Name and Position | Paul D Martin (OWNER/CHIEF EMERGENCE OFFICER) |
Authorized Official Contact | 3122063099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emerge And See Psychonautics, Pllc 2905 Plantation Dr Carpentersville IL 60110-3293 Ph: (312) 206-3099 | Emerge And See Psychonautics, Pllc 2905 Plantation Dr Carpentersville IL 60110-3293 Ph: (312) 206-3099 |
NPI Number | 1811773757 |
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Provider Enumeration Date | 09/06/2023 |
Last Update Date | 09/06/2023 |
Certification Date | 09/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811773757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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