| Family Center Of Niu | |
|
146 Wirtz Hall Dekalb IL 60115-3088 | |
| (815) 753-1684 | |
| (815) 753-1627 |
| Full Name | Family Center Of Niu |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 146 Wirtz Hall, Dekalb, Illinois |
| Authorized Official Name and Position | Dawn Roznowski (ASSISTANT, DEAN/FINANCE OPERATIONS) |
| Authorized Official Contact | 8157536161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Center Of Niu 146 Wirtz Hall Dekalb IL 60115-3088 Ph: (815) 753-1684 | Family Center Of Niu 146 Wirtz Hall Dekalb IL 60115-3088 Ph: (815) 753-1684 |
| NPI Number | 1114237153 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114237153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166000169 (Illinois) | Primary |
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