Center For Personal Growth | |
640 E Saint Charles Rd Ste 212 Carol Stream IL 60188-2600 | |
(630) 791-0118 | |
(630) 708-7654 |
Full Name | Center For Personal Growth |
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Speciality | Psychologist - Clinical |
Location | 640 E Saint Charles Rd Ste 212, Carol Stream, Illinois |
Authorized Official Name and Position | Kiera E Liebich (OFFICE MANAGER) |
Authorized Official Contact | 6307910118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Personal Growth 640 E Saint Charles Rd Ste 212 Carol Stream IL 60188-2600 Ph: (630) 791-0118 | Center For Personal Growth 640 E Saint Charles Rd Ste 212 Carol Stream IL 60188-2600 Ph: (630) 791-0118 |
NPI Number | 1831594407 |
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Provider Enumeration Date | 10/25/2014 |
Last Update Date | 02/24/2024 |
Certification Date | 11/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831594407 | NPI | - | NPPES |
321707109001 | Medicaid | IL |
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