Stillpath Therapy And Associates | |
1030 S La Grange Rd Ste 9 La Grange IL 60525-2893 | |
(708) 921-3639 | |
(708) 588-1501 |
Full Name | Stillpath Therapy And Associates |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1030 S La Grange Rd Ste 9, La Grange, Illinois |
Authorized Official Name and Position | Kristine Maynard (PRESIDENT) |
Authorized Official Contact | 7089213639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stillpath Therapy And Associates 1030 S La Grange Rd Ste 9 La Grange IL 60525-2893 Ph: (708) 921-3639 | Stillpath Therapy And Associates 1030 S La Grange Rd Ste 9 La Grange IL 60525-2893 Ph: (708) 921-3639 |
NPI Number | 1174163463 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 07/05/2021 |
Certification Date | 07/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174163463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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