| Itb Therapy Pllc | |
|
110 Mooney Dr Bourbonnais IL 60914-2171 | |
| (779) 529-0825 | |
| Not Available |
| Full Name | Itb Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 Mooney Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Laura L Mills (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7795290825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itb Therapy Pllc 31526 S Will Center Rd Peotone IL 60468-9142 Ph: (779) 529-0825 | Itb Therapy Pllc 110 Mooney Dr Bourbonnais IL 60914-2171 Ph: (779) 529-0825 |
| NPI Number | 1699422501 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699422501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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