Interlude Wellness Pllc | |
969 North Carmel Drive Palatine IL 60074 | |
(630) 247-1978 | |
Not Available |
Full Name | Interlude Wellness Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 969 North Carmel Drive, Palatine, Illinois |
Authorized Official Name and Position | Cornelius Francis Gorman (CLINICAL DIRECTOR & THERAPIST) |
Authorized Official Contact | 6302471978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Interlude Wellness Pllc 1125 Franklin St Downers Grove IL 60515-3551 Ph: (630) 247-1978 | Interlude Wellness Pllc 969 North Carmel Drive Palatine IL 60074 Ph: (630) 247-1978 |
NPI Number | 1285207571 |
---|---|
Provider Enumeration Date | 07/23/2021 |
Last Update Date | 06/11/2024 |
Certification Date | 06/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285207571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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