| Gps Indiana Lmsw Group | |
|
1721 Moon Lake Blvd Hoffman Estates IL 60169-1069 | |
| (847) 519-3650 | |
| (847) 519-3642 |
| Full Name | Gps Indiana Lmsw Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1721 Moon Lake Blvd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Robert A Clemente (MANAGER) |
| Authorized Official Contact | 5866208100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gps Indiana Lmsw Group 28800 Ryan Rd Suite 320 Warren MI 48092-4272 Ph: (568) 620-8100 | Gps Indiana Lmsw Group 1721 Moon Lake Blvd Hoffman Estates IL 60169-1069 Ph: (847) 519-3650 |
| NPI Number | 1528208873 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528208873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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