Independence Health & Therapy | |
461 Pierson St Crystal Lake IL 60014-5772 | |
(815) 338-3590 | |
Not Available |
Full Name | Independence Health & Therapy |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 461 Pierson St, Crystal Lake, Illinois |
Authorized Official Name and Position | Mary Fisher (FINANCE DIRECTOR) |
Authorized Official Contact | 8153383590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Independence Health & Therapy 2028 N Seminary Ave Woodstock IL 60098-2626 Ph: (815) 333-8650 | Independence Health & Therapy 461 Pierson St Crystal Lake IL 60014-5772 Ph: (815) 338-3590 |
NPI Number | 1235994872 |
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Provider Enumeration Date | 02/13/2024 |
Last Update Date | 02/13/2024 |
Certification Date | 02/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235994872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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