| Functional Skills Group | |
|
9115 S Cicero Ave Ste 200 Oak Lawn IL 60453-1771 | |
| (773) 449-0859 | |
| Not Available |
| Full Name | Functional Skills Group |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9115 S Cicero Ave Ste 200, Oak Lawn, Illinois |
| Authorized Official Name and Position | Tinesha Denise Johnson (OWNER) |
| Authorized Official Contact | 7734490859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Skills Group 5113 S Harper Ave Ste 2c Chicago IL 60615-4119 Ph: (773) 449-0859 | Functional Skills Group 9115 S Cicero Ave Ste 200 Oak Lawn IL 60453-1771 Ph: (773) 449-0859 |
| NPI Number | 1932741733 |
|---|---|
| Provider Enumeration Date | 10/13/2019 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932741733 | NPI | - | NPPES |
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