| Joseph Bozic Therapy, Llc | |
|
8600 Us Highway 14 Crystal Lake IL 60012-2706 | |
| (847) 845-7953 | |
| Not Available |
| Full Name | Joseph Bozic Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8600 Us Highway 14, Crystal Lake, Illinois |
| Authorized Official Name and Position | Joseph G Bozic (PRESIDENT) |
| Authorized Official Contact | 8478457953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Bozic Therapy, Llc 1410 Grandview Ct Algonquin IL 60102-1995 Ph: (847) 845-7953 | Joseph Bozic Therapy, Llc 8600 Us Highway 14 Crystal Lake IL 60012-2706 Ph: (847) 845-7953 |
| NPI Number | 1548882822 |
|---|---|
| Provider Enumeration Date | 05/10/2020 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Medicare PECOS PAC ID | 1254795776 |
|---|---|
| Medicare Enrollment ID | O20240124001262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548882822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Joseph George Bozic |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063769354 PECOS PAC ID: 3577927342 Enrollment ID: I20240124001333 |
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