Itsa Journey, Llc | |
2240 S 2nd Ave Riverside IL 60546-1307 | |
(708) 267-1971 | |
Not Available |
Full Name | Itsa Journey, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2240 S 2nd Ave, Riverside, Illinois |
Authorized Official Name and Position | Juan C Tapia (THERAPIST) |
Authorized Official Contact | 7082671971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Itsa Journey, Llc 2240 S 2nd Ave Riverside IL 60546-1307 Ph: (708) 267-1971 | Itsa Journey, Llc 2240 S 2nd Ave Riverside IL 60546-1307 Ph: (708) 267-1971 |
NPI Number | 1750100269 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 10/10/2024 |
Certification Date | 10/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750100269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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