| Inner Healing Institute, Llc | |
|
17504 Carriageway Dr. Suite B Hazel Crest IL 60429 | |
| (708) 799-0300 | |
| (773) 298-0110 |
| Full Name | Inner Healing Institute, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 17504 Carriageway Dr., Hazel Crest, Illinois |
| Authorized Official Name and Position | Keith Richard Renfroe (CEO) |
| Authorized Official Contact | 7087990300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Healing Institute, Llc 9651 S. Union Chicago IL 60628-1016 Ph: (773) 298-0110 | Inner Healing Institute, Llc 17504 Carriageway Dr. Suite B Hazel Crest IL 60429 Ph: (708) 799-0300 |
| NPI Number | 1649497462 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649497462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
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