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7757 Us Route 136 Potomac IL 61865-3047 | |
(217) 649-0492 | |
(217) 987-6386 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 7757 Us Route 136, Potomac, Illinois |
Authorized Official Name and Position | Michael Remole (COO AND LEAD THERAPIST) |
Authorized Official Contact | 2176490492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7757 Us Route 136 Potomac IL 61865-3047 Ph: (217) 649-0492 | 7757 Us Route 136 Potomac IL 61865-3047 Ph: (217) 649-0492 |
NPI Number | 1487152344 |
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Provider Enumeration Date | 01/25/2018 |
Last Update Date | 06/02/2020 |
Certification Date | 06/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487152344 | NPI | - | NPPES |
Gateway Family Services Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7757 Us Route 136, Potomac, IL 61865 Phone: 217-488-8006 Fax: 217-987-6386 |