| Guildhaus | |
|
13315 Olde Western Ave Blue Island IL 60406-2921 | |
| (708) 926-9627 | |
| Not Available |
| Full Name | Guildhaus |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13315 Olde Western Ave, Blue Island, Illinois |
| Authorized Official Name and Position | Kevin Patrick Lavin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7083853228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guildhaus 13315 Olde Western Ave Blue Island IL 60406-2921 Ph: (708) 926-9627 | Guildhaus 13315 Olde Western Ave Blue Island IL 60406-2921 Ph: (708) 926-9627 |
| NPI Number | 1669827580 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669827580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-0991-0004-A (Illinois) | Primary |
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