| Kidnectivity,llc | |
|
600 Waukegan Rd Ste 132 Northbrook IL 60062-1249 | |
| (847) 748-8733 | |
| (847) 739-7164 |
| Full Name | Kidnectivity,llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 600 Waukegan Rd Ste 132, Northbrook, Illinois |
| Authorized Official Name and Position | Jenifer Bates (BUSINESS DIRECTOR) |
| Authorized Official Contact | 8477488733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidnectivity,llc 600 Waukegan Rd Ste 132 Northbrook IL 60062-1249 Ph: (847) 748-8733 | Kidnectivity,llc 600 Waukegan Rd Ste 132 Northbrook IL 60062-1249 Ph: (847) 748-8733 |
| NPI Number | 1548994767 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548994767 | NPI | - | NPPES |
| 0001710375969 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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