| Integra Clinical | |
|
302 Gayle Ave Dekalb IL 60115-4320 | |
| (779) 702-5663 | |
| Not Available |
| Full Name | Integra Clinical |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 302 Gayle Ave, Dekalb, Illinois |
| Authorized Official Name and Position | Margo Milano (DIRECTOR) |
| Authorized Official Contact | 7797025663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Clinical 302 Gayle Ave Dekalb IL 60115-4320 Ph: (779) 702-5663 | Integra Clinical 302 Gayle Ave Dekalb IL 60115-4320 Ph: (779) 702-5663 |
| NPI Number | 1316797707 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316797707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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