| Fourcorners Wellness Center, Ltd | |
|
4001 N Perryville Rd Loves Park IL 61111-8644 | |
| (815) 988-4370 | |
| Not Available |
| Full Name | Fourcorners Wellness Center, Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4001 N Perryville Rd, Loves Park, Illinois |
| Authorized Official Name and Position | Kevin M Polky (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 8159884370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fourcorners Wellness Center, Ltd 4001 N Perryville Rd Loves Park IL 61111-8644 Ph: (815) 988-4370 | Fourcorners Wellness Center, Ltd 4001 N Perryville Rd Loves Park IL 61111-8644 Ph: (815) 988-4370 |
| NPI Number | 1932968633 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932968633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Geiger Psychiatric Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1752 Windsor Rd Ste 203, Loves Park, IL 61111 Phone: 815-986-2620 | |
Focused Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7315 N Alpine Rd Ste H, Loves Park, IL 61111 Phone: 815-540-4237 | |
Odessa Neurology Clinic And Emg Lab Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1752 Windsor Rd, Suite 202, Loves Park, IL 61111 Phone: 815-282-9881 Fax: 815-282-9891 | |
Love's Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Clinton Rd, Loves Park, IL 61111 Phone: 815-962-8333 | |
Harmony Center For Holistic Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6625 N 2nd St, Loves Park, IL 61111 Phone: 815-639-0300 Fax: 815-639-0303 | |
Restore Counseling & Recovery, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7399 Forest Hills Rd, Loves Park, IL 61111 Phone: 815-708-7392 Fax: 815-708-8248 | |
Browndeer Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7120 Windsor Lake Pkwy, Loves Park, IL 61111 Phone: 815-877-9999 Fax: 815-877-2601 |