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4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 | |
| (815) 782-2172 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4320 Winfield Rd Ste 200, Warrenville, Illinois |
| Authorized Official Name and Position | Jennifer Moreno (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8157822172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 Ph: (815) 782-2172 | 4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 Ph: (815) 782-2172 |
| NPI Number | 1063185114 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063185114 | NPI | - | NPPES |
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