| Felice Block Ma Lcpc | |
|
4160 Il Route 83 Ste 206 Long Grove IL 60047-8034 | |
| (847) 494-0482 | |
| Not Available |
| Full Name | Felice Block Ma Lcpc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4160 Il Route 83 Ste 206, Long Grove, Illinois |
| Authorized Official Name and Position | Felice Block (OWNER) |
| Authorized Official Contact | 8474940482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Felice Block Ma Lcpc 4160 Il Route 83 Ste 206 Long Grove IL 60047-8034 Ph: (847) 494-0482 | Felice Block Ma Lcpc 4160 Il Route 83 Ste 206 Long Grove IL 60047-8034 Ph: (847) 494-0482 |
| NPI Number | 1104453869 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 03/24/2020 |
| Certification Date | 03/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104453869 | NPI | - | NPPES |
| 1396806683 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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