| Family Sos, Inc | |
|
1245 Asbury Ct Elgin IL 60120-2396 | |
| (630) 710-9659 | |
| Not Available |
| Full Name | Family Sos, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1245 Asbury Ct, Elgin, Illinois |
| Authorized Official Name and Position | Teresa Petersen Mendoza (OWNER) |
| Authorized Official Contact | 6307109659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Sos, Inc 1245 Asbury Ct Elgin IL 60120-2396 Ph: (630) 710-9659 | Family Sos, Inc 1245 Asbury Ct Elgin IL 60120-2396 Ph: (630) 710-9659 |
| NPI Number | 1770836058 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770836058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000874 (Illinois) | Primary |
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