| Gorbold Behavioral Consulting, Inc. | |
|
484 W Boughton Rd Ste C Bolingbrook IL 60440-2478 | |
| (312) 882-1024 | |
| (312) 488-3663 |
| Full Name | Gorbold Behavioral Consulting, Inc. |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 484 W Boughton Rd Ste C, Bolingbrook, Illinois |
| Authorized Official Name and Position | Stacey Gorbold (CORPORATE OFFICE MANAGER) |
| Authorized Official Contact | 3128821024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorbold Behavioral Consulting, Inc. 484 W Boughton Rd Ste C Bolingbrook IL 60440-2478 Ph: (312) 882-1024 | Gorbold Behavioral Consulting, Inc. 484 W Boughton Rd Ste C Bolingbrook IL 60440-2478 Ph: (312) 882-1024 |
| NPI Number | 1841606811 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841606811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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