| Jo Ellen Carl Ltd | |
|
110 Mooney Dr Ste 1 Bourbonnais IL 60914-2172 | |
| (815) 933-7887 | |
| (815) 933-7870 |
| Full Name | Jo Ellen Carl Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Mooney Dr Ste 1, Bourbonnais, Illinois |
| Authorized Official Name and Position | Jo Ellen Carl (PRESIDENT) |
| Authorized Official Contact | 8159350887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Ellen Carl Ltd 110 Mooney Dr Ste 1 Bourbonnais IL 60914-2172 Ph: (815) 933-7887 | Jo Ellen Carl Ltd 110 Mooney Dr Ste 1 Bourbonnais IL 60914-2172 Ph: (815) 933-7887 |
| NPI Number | 1215109129 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215109129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
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