| Illinois Behavioral Services Inc | |
|
276 E 16th Street Chicago Heights IL 60471 | |
| (708) 473-6420 | |
| Not Available |
| Full Name | Illinois Behavioral Services Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 276 E 16th Street, Chicago Heights, Illinois |
| Authorized Official Name and Position | Joyce Kellogg Weaver (CEO) |
| Authorized Official Contact | 7084736420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Behavioral Services Inc 276 East 16th St Chicago Heights IL 60411 Ph: (708) 473-6420 | Illinois Behavioral Services Inc 276 E 16th Street Chicago Heights IL 60471 Ph: (708) 473-6420 |
| NPI Number | 1538312475 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538312475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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