Equulibrium, Llc | |
2603 S Washington St Ste 170 Naperville IL 60565-6377 | |
(630) 305-6180 | |
Not Available |
Full Name | Equulibrium, Llc |
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Speciality | Psychologist - Clinical |
Location | 2603 S Washington St Ste 170, Naperville, Illinois |
Authorized Official Name and Position | Arieahn And William Matamonasa Bennett (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6303056180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Equulibrium, Llc 2603 S. Washington Street Naperville IL 60565 Ph: (630) 305-6180 | Equulibrium, Llc 2603 S Washington St Ste 170 Naperville IL 60565-6377 Ph: (630) 305-6180 |
NPI Number | 1255634002 |
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Provider Enumeration Date | 12/17/2010 |
Last Update Date | 12/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255634002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.007415 (Illinois) | Primary |
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