Fresh Start Behaviorial Center | |
8 Surrey Brook Plz Sauk Village IL 60411-4913 | |
(708) 757-2444 | |
(708) 757-2449 |
Full Name | Fresh Start Behaviorial Center |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 8 Surrey Brook Plz, Sauk Village, Illinois |
Authorized Official Name and Position | Joel K Carroll (MEDICAL DIRECTOR) |
Authorized Official Contact | 7087572444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fresh Start Behaviorial Center 8 Surrey Brook Plz Sauk Village IL 60411-4913 Ph: (708) 757-2444 | Fresh Start Behaviorial Center 8 Surrey Brook Plz Sauk Village IL 60411-4913 Ph: (708) 757-2444 |
NPI Number | 1184883779 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
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1184883779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 36093329 (Illinois) | Primary |
National Youth Advocate Program, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 217th Pl, Sauk Village, IL 60411 Phone: 708-747-2655 Fax: 708-747-2859 | |
Medical Behavioral Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21936 Burnham Ave, Sauk Village, IL 60411 Phone: 708-753-0685 |